Individual
DR. DAVID J COSTABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 SAW MILL RIVER RD, 2ND FLOOR, HAWTHORNE, NY 10532-1533
(914) 366-0015
(914) 366-0012
Mailing address
325 S HIGHLAND AVE STE 106, BRIARCLIFF MANOR, NY 10510-2054
(914) 366-0015
(914) 366-0012
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
221548
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
221548
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02543460
—
NY
Enumeration date
03/15/2006
Last updated
10/11/2024
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