Individual
ANN MARIE PIA COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 LAWRENCE AVE, BROOKLYN, NY 11230-1102
(718) 436-0071
Mailing address
PO BOX 403, HASTINGS ON HUDSON, NY 10706-0403
(914) 231-6596
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
016121
NY
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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