Individual
ANDREA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNION SQ S, NEW YORK, NY 10003-4183
(347) 450-7971
Mailing address
1 UNION SQ S APT 21J, NEW YORK, NY 10003-4192
(917) 359-6932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090666
NY
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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