Individual
CHRISTOPHER KEVIN COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, SCS, CSCS
Contact information
Practice address
127 WEST 30TH STREET, NEW YORK, NY 10001-4001
(212) 967-5838
(212) 967-5786
Mailing address
333 EARLE OVINGTON BLVD, SUITE 225, UNIONDALE, NY 11553-3610
(516) 321-2424
(516) 321-2424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028277
NY
225100000X
Physical Therapist
35392
CA
Other
Enumeration date
02/24/2007
Last updated
06/28/2016
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