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1033966395
ALEXANDER LOUIS COSTA
BRONX, NY
NPI
1033966395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-03
Last Update Date
2025-04-23
Business Address
ALEXANDER LOUIS COSTA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
ALEXANDER LOUIS COSTA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
Copy
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