Individual
MS. CHRISTINE MICHELE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
2540 SHORE BLVD APT 12I, ASTORIA, NY 11102-3949
(917) 340-9639
Mailing address
2540 SHORE BLVD APT 12I, ASTORIA, NY 11102-3949
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012658
NY
Other
Enumeration date
08/04/2008
Last updated
12/16/2020
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