Individual
ANTIGONE D. KOSTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 HOLLY HILL LN STE 100, GREENWICH, CT 06830-2917
(203) 622-1310
(203) 622-1311
Mailing address
75 HOLLY HILL LN STE 100, GREENWICH, CT 06830-2917
(203) 622-1310
(203) 622-1311
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
049746
CT
2084P0804X
Child & Adolescent Psychiatry Physician
049746
CT
Other
Enumeration date
02/26/2009
Last updated
05/14/2015
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