Individual
MS. VIRGINIA C COSTAGLIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
234 E 149TH ST, DEPT OF EMERGENCY MEDICINE LINCOLN HOSPITAL, BRONX, NY 10451-5504
(718) 579-6010
Mailing address
1910 PARSONS BLVD APT 4D, WHITESTONE, NY 11357-3007
(718) 746-4918
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007648
NY
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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