Individual
HEATHER M KOSTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1 BLUEBIRD SQ, OLEAN, NY 14760-2552
(716) 982-7921
Mailing address
1 BLUEBIRD SQ, OLEAN, NY 14760-2552
(716) 373-1950
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406655
NY
Other
Enumeration date
02/10/2025
Last updated
04/24/2025
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