Peter A Costalos Dmd Pc

NPI 1225475494 - Dentist - 1223X0400X

NPI Details
NPI 1225475494
Enumeration Date 05/29/2013
Last Updated 05/29/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PETER A PETER
Position PRESIDENT
Phone (718) 238-9888
Fax (718) 745-4625
Practice Location
462 BAY RIDGE PKWY
BROOKLYN NY, 11209-2702, US
Phone (718) 238-9888
Fax (718) 745-4625
Business Location
462 BAY RIDGE PKWY
BROOKLYN NY, 11209-2702, US
Phone (718) 238-9888
Fax (718) 745-4625
Toxanomy
Taxonomy Code 1223X0400X
License State
License Number
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According to our database, Peter A Costalos Dmd Pc NPI is 1225475494, taxonomy code is 1223X0400X Peter A Costalos Dmd Pc physically located at 462 Bay Ridge Pkwy, Brooklyn NY, 11209-2702. NPI Number 1033115704 has the healthcare provider type.

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1225475494 NPI number is provided on an as is basis without warranty of any kind. 1225475494 is maintained by the National Plan & Provider Enumeration System. The contents of Peter A Costalos Dmd Pc are for informational purposes only.