Organization
THOMAS E. COSTELLO, MD, PT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E COSTELLO MD (PHYSICIAN)
(516) 658-2807
Entity
Organization
Contact information
Practice address
14 VILLANOVA LN, DIX HILLS, NY 11746-4841
(516) 658-2807
Mailing address
PO BOX 464, HUNTINGTON STATION, NY 11746-0374
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
011915
NY
261QP2300X
Primary Care Clinic/Center
Primary
267336
NY
Other
Enumeration date
09/25/2015
Last updated
03/14/2023
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