Costello, Robert Joseph

Costello, Robert Joseph is an sole proprietor health care provider with primary practice located at 300 Community Dr , Manhasset NY 11030-3816. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Costello, Robert Joseph can be contacted via phone (516) 562-3020.

Contact Information

Primary practice address
300 Community Dr Manhasset NY 11030-3816
Phone: (516) 562-3020
Fax: (516) 562-3030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007789 New York

Profile Details

NPI number 1265559876
LBN Legal business name Costello, Robert Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 17 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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