Individual
ALYSSA NICOLE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
36 EAST 57TH STREET, NEW YORK, NY 10022
(212) 600-2000
Mailing address
36 EAST 57TH STREET, NEW YORK, NY 10022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020886-1
NY
Other
Enumeration date
06/26/2017
Last updated
08/15/2025
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