Michael Kostakos

NPI #1679839278 in Whitestone, New York

Provider Information

NPI Number: 1679839278
Entity Type: Individual
Name: Michael Kostakos
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 9, 2012
Last Updated: Apr 9, 2012

Practice Location

Address: 147-27 15TH DR
City: Whitestone
State: New York
ZIP Code: 11357
Phone: (718) 746-0396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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