Individual
DR. EDWARD COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
600 MAMARONECK AVE, HARRISON, NY 10528-1635
(914) 723-8100
Mailing address
600 MAMARONECK AVE, HARRISON, NY 10528-1635
(914) 723-8100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
006352
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006352
NY
Other
Enumeration date
03/02/2010
Last updated
04/06/2022
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