Individual
DR. PETER COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
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
213ES0131X
Foot Surgery Podiatrist
Primary
N39101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00901804
—
NY
01
—
P41041
EMPIRE BCBS
NY
Enumeration date
01/25/2006
Last updated
03/27/2024
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