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1205401007
MICHAEL LEONARD COSTA
ASTORIA, NY
NPI
1205401007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
Dr. MICHAEL LEONARD COSTA Psy.D.
2572 43RD ST
ASTORIA, NY 11103-2509
Phone number: 516-670-5325
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Mailing Address
Dr. MICHAEL LEONARD COSTA Psy.D.
2572 43RD ST
ASTORIA, NY 11103-2509
Phone number: 516-670-5325
Copy
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