Individual
ARI KOSTADARAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3016 30TH DR, ASTORIA, NY 11102-1874
(718) 721-4440
(718) 907-7932
Mailing address
2510 38TH ST, ASTORIA, NY 11103-4224
(718) 721-4440
(718) 626-4962
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
189511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189511
LICENSE
NY
Enumeration date
07/12/2006
Last updated
06/24/2016
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