Individual
MS. NICOLE BETH COSTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1275 YORK AVE # MRI1027, NEW YORK, NY 10065
(212) 639-3099
(212) 717-3677
Mailing address
1275 YORK AVE # 124, NEW YORK, NY 10065-6007
(212) 639-5985
(929) 321-7122
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
P81199
NY
Other
Enumeration date
08/02/2011
Last updated
09/10/2019
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