Individual
NICHOLAS JOHN COSTABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODS RD FL 3, VALHALLA, NY 10595-1530
(914) 533-4111
Mailing address
351 E 84TH ST APT 21C, NEW YORK, NY 10028-4457
(516) 987-0794
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
303919
NY
Other
Enumeration date
03/20/2018
Last updated
07/21/2025
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