Costello, Carissa Ann
Costello, Carissa Ann is an sole proprietor health care provider with primary practice located at 100 Carman Ave , East Meadow NY 11554-1160. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Costello, Carissa Ann can be contacted via phone (516) 572-3953.Contact Information
Primary practice address
100 Carman Ave
East Meadow NY 11554-1160
Phone: (516) 572-3953
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 005335-1 | New York |
Profile Details
| NPI number | 1205178167 |
|---|---|
| LBN Legal business name | Costello, Carissa Ann |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2013 |
| Last updated | May 8th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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