Theodore G. Costich, Md
LBN: Maple Medical Services, P.C.
Theodore G. Costich, Md is an health care organization with primary practice located at 41 Maple Rd , Williamsville NY 14221-2918. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty.
Maple Medical Services, P.C. can be contacted via phone (716) 631-1045, or through Costich, Theodore Gerard via phone (716) 631-1045.
Contact Information
Primary practice address
41 Maple Rd
Williamsville NY 14221-2918
Phone: (716) 631-1045
Fax: (716) 631-1365
Website:
Authorized official contact:
Name: Costich, Theodore Gerard Doctor of Medicine (MD)
Phone: (716) 631-1045
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 187420 | New York |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 187420 | New York |
Profile Details
| NPI number | 1871589861 |
|---|---|
| LBN Legal business name | Maple Medical Services, P.C. |
| DBA Doing business as | Theodore G. Costich, Md |
| Authorized official | Costich, Theodore Gerard Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 25th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871589861 | NPPES |
| New York | MEDICAID | 01406720 | |
| New York | Other | 00020006503 | |
| New York | Other | 0709667 |
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