Individual
JOHN THOMAS COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3858 NOSTRAND AVENUE, BROOKLYN, NY 11235
(718) 332-4353
(718) 332-4353
Mailing address
3858 NOSTRAND AVENUE, BROOKLYN, NY 11235
(718) 332-4353
(718) 332-4353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
143646
NY
207RP1001X
Pulmonary Disease Physician
Primary
143646
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043313
GHI
—
05
—
00764645
—
NY
01
—
P376618
OXFORD
—
Enumeration date
12/13/2006
Last updated
09/11/2025
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