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1265559876
ROBERT JOSEPH COSTELLO
MANHASSET, NY
NPI
1265559876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 007789)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Mr. ROBERT JOSEPH COSTELLO PA-C
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-3020
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Mailing Address
Mr. ROBERT JOSEPH COSTELLO PA-C
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-3020
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