Individual
AMANDA COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 W 3RD ST APT 5E, BROOKLYN, NY 11223-1562
(646) 431-5051
Mailing address
1780 W 3RD ST APT 5E, BROOKLYN, NY 11223-1562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
869647
NY
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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