Individual
CARMEN SILVIA COSTAS-KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
625 E FORDHAM RD, BRONX, NY 10458-5049
(718) 933-1900
(718) 563-4039
Mailing address
217 BEACH 95 ST, ROCKAWAY BEACH, NY 11693
(718) 634-9384
(718) 318-8866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01843672
—
NY
01
—
203363
LICENCE NUMBER
NY
Enumeration date
12/14/2006
Last updated
01/30/2015
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