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MR. NICHOLAS MARK KOSTELEC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 929-7800
Mailing address
90 BURTIS AVE, ROCKVILLE CENTRE, NY 11570-2902
(516) 510-3286

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432366-01
NY

Other

Enumeration date
08/09/2022
Last updated
08/09/2022
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