Individual
MARGUERITE ANN COSTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST # VC4-417, NEW YORK, NY 10032
(773) 702-7553
(212) 305-2229
Mailing address
622 W 168TH ST # VC4-417, NEW YORK, NY 10032-3720
(773) 702-7553
(212) 305-2229
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
287921
NY
Other
Enumeration date
06/06/2014
Last updated
05/30/2018
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