Individual
MARIE C OSTOYICH
Active
Individual
MARIE C OSTOYICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
374425-1
NY
163WD0400X
Diabetes Educator Registered Nurse
374425-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473230
—
NY
01
—
337050
MEDICARE
NY
Enumeration date
09/12/2008
Last updated
09/12/2008
Update your record
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