Individual
MRS. MARGARET COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
200 MOTOR PKWY # C, HAUPPAUGE, NY 11788-5100
(631) 444-9614
Mailing address
200 MOTOR PKWY # C, HAUPPAUGE, NY 11788-5100
(631) 444-9614
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301009-1
NY
Other
Enumeration date
07/08/2008
Last updated
03/17/2018
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