Individual
MRS. ALISON J COSTALOS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-2742
(646) 422-4329
Mailing address
126 HARRISON AVE, WESTFIELD, NJ 07090-2433
(908) 654-0617
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430168-1
NY
Other
Enumeration date
05/09/2006
Last updated
08/26/2009
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