Costello, Mercedes

Costello, Mercedes is an individual health care provider with primary practice located at 11515 101St Ave , South Richmond Hill NY 11419-1247. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Costello, Mercedes can be contacted via phone (718) 441-5333.

Contact Information

Primary practice address
11515 101St Ave South Richmond Hill NY 11419-1247
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 014805-1 New York

Profile Details

NPI number 1093031254
LBN Legal business name Costello, Mercedes
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2010
Last updated Dec 15th, 2010 - about 15 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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