Individual
MR. BRIAN MICHAEL COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
5182 EAST PKWY, HAMBURG, NY 14075-5748
(716) 997-8450
Mailing address
5182 EAST PKWY, HAMBURG, NY 14075-5748
(716) 997-8450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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