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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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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