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1104331214
LAUREN COSTELLO
NEW YORK, NY
NPI
1104331214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F341654-1)
Enumeration Date
2017-12-12
Last Update Date
2017-12-12
Business Address
LAUREN COSTELLO FNP
1305 YORK AVE FL 10
NEW YORK, NY 10021-5663
Phone number: 646-962-2185
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Mailing Address
LAUREN COSTELLO FNP
2334 28TH ST APT 1F
ASTORIA, NY 11105-2877
Phone number: 516-428-5155
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