Individual
DANIEL CHARLES COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.,C.A.S.A.C
Contact information
Practice address
37 PARKWAY DR N, COMMACK, NY 11725-5108
(631) 261-4400
Mailing address
37 PARKWAY DR N, COMMACK, NY 11725-5108
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0716949
NY
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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