Costello, Joseph Thomas

Costello, Joseph Thomas is an sole proprietor health care provider with primary practice located at 50 Sequams Ln W , West Islip NY 11795-4527. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Costello, Joseph Thomas can be contacted via phone (631) 669-8230.

Contact Information

Primary practice address
50 Sequams Ln W West Islip NY 11795-4527
Phone: (631) 669-8230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 009827 New York

Profile Details

NPI number 1245573682
LBN Legal business name Costello, Joseph Thomas
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2013
Last updated Apr 4th, 2013 - about 11 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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