DR. John Michael Costable JR., MD
NPI #1043251184 in Great Neck, New York
Provider Information
- NPI Number
- 1043251184
- Entity Type
- Individual
- Name
- DR. John Michael Costable JR., MD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Internal Medicine - Gastroenterology
- Credential
- MD
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 600 NORTHERN BLVD
- Address 2
- STE 106
- City
- Great Neck
- State
- New York
- ZIP Code
- 11021-5200
- Phone
- (516) 466-6075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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|---|---|
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