Costello, Kathleen Teresa

Costello, Kathleen Teresa is an individual health care provider with primary practice located at 1239 N Country Rd Ste 3 , Stony Brook NY 11790-1920. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Costello, Kathleen Teresa can be contacted via phone (631) 601-6491.

Contact Information

Primary practice address
1239 N Country Rd Ste 3 Stony Brook NY 11790-1920
Phone: (631) 601-6491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 007122 New York

Profile Details

NPI number 1356055610
LBN Legal business name Costello, Kathleen Teresa
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2023
Last updated Jan 11th, 2023 - about 3 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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