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1043251184
JOHN MICHAEL COSTABLE
GREAT NECK, NY
NPI
1043251184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: NY 198554)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
Dr. JOHN MICHAEL COSTABLE MD
600 NORTHERN BLVD STE 106
GREAT NECK, NY 11021-5200
Phone number: 516-466-6075
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Mailing Address
Dr. JOHN MICHAEL COSTABLE MD
600 NORTHERN BLVD STE 106
GREAT NECK, NY 11021-5200
Phone number: 516-466-6075
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