Stephen Costa

NPI 1740204510 - Social Worker - 104100000X

NPI Details
NPI 1740204510
Gender Male
Enumeration Date 07/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
76 VETERANS AVE
BUILDING 76 ROOM 213C
BATH NY, 14810-0810, US
Phone (607) 664-4632
Fax (607) 664-4720
Business Location
76 VETERANS AVE
BUILDING 76 ROOM 213C
BATH NY, 14810-0810, US
Phone (607) 664-4632
Fax (607) 664-4720
Toxanomy
Taxonomy Code 104100000X
License State Pennsylvania
License Number SW010487L
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According to our database, Stephen Costa NPI is 1740204510, taxonomy code is 104100000X and license number is SW010487L, license state is located at Pennsylvania. Stephen Costa physically located at 76 Veterans Ave, Bath NY, 14810-0810. NPI Number Stephen Costa has the Individual type.

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1740204510 NPI number is provided on an as is basis without warranty of any kind. 1740204510 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Costa are for informational purposes only.