Stephen Costa

NPI #1740204510 in Bath, New York

Provider Information

NPI Number: 1740204510
Entity Type: Individual
Name: Stephen Costa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 26, 2006
Last Updated: Feb 24, 2020

Practice Location

Address: 76 VETERANS AVE
Address 2: BUILDING 76 ROOM 213C
City: Bath
State: New York
ZIP Code: 14810-0810
Phone: (607) 664-4632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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