Michael Louis Costa DMD

NPI 1043480551 - Dentist - 122300000X

NPI Details
NPI 1043480551
Gender Male
Enumeration Date 03/11/2008
Last Updated 08/16/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
62 HART BLVD
STATEN ISLAND NY, 10301-2613, US
Phone (718) 442-3982
Fax
Business Location
62 HART BLVD
STATEN ISLAND NY, 10301-2613, US
Phone (718) 442-3982
Fax
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 053358-1
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According to our database, Dr. Michael Louis Costa DMD NPI is 1043480551, taxonomy code is 122300000X and license number is 053358-1, license state is located at New York. Michael Louis Costa DMD physically located at 62 Hart Blvd, Staten Island NY, 10301-2613. NPI Number Michael Louis Costa DMD has the Individual type.

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1043480551 NPI number is provided on an as is basis without warranty of any kind. 1043480551 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Louis Costa DMD are for informational purposes only.