Organization
PETER COSTA, D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA TORREGROSSA (OFFICE MANAGER)
(845) 429-0520
Entity
Organization
Contact information
Practice address
7 LIBERTY SQUARE MALL, STONY POINT, NY 10980-2400
(845) 429-0520
(845) 429-0603
Mailing address
7 LIBERTY SQUARE MALL, STONY POINT, NY 10980-2400
(845) 429-0520
(845) 429-0603
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N39101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00901804
—
NY
Enumeration date
12/17/2007
Last updated
01/28/2009
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