Individual
DR. RALPH THOMAS COSTAGLIOLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
71 TODT HILL RD, SUITE 106, STATEN ISLAND, NY 10314-4534
(718) 815-3221
(718) 815-1710
Mailing address
71 TODT HILL RD, SUITE 106, STATEN ISLAND, NY 10314-4534
(718) 815-3221
(718) 815-1710
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
042842
NY
Other
Enumeration date
10/18/2005
Last updated
07/09/2007
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