Nicholas Costa
NPI #1124555107 in Stony Point, New York
Provider Information
- NPI Number
- 1124555107
- Entity Type
- Individual
- Name
- Nicholas Costa
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- May 22, 2017
- Last Updated
- May 22, 2017
Practice Location
- Address
- 5 BEAVER POND CT
- City
- Stony Point
- State
- New York
- ZIP Code
- 10980-3518
- Phone
- (845) 429-6551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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