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1346784915
BRYAN PATRICK COSTELLO
NEW YORK, NY
NPI
1346784915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 003236)
Enumeration Date
2016-12-15
Last Update Date
2016-12-15
Business Address
-- BRYAN PATRICK COSTELLO MS, ATC
140 E 14TH ST
NEW YORK, NY 10003-4170
Phone number: 212-998-2073
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Mailing Address
-- BRYAN PATRICK COSTELLO MS, ATC
140 E 14TH ST
NEW YORK, NY 10003-4170
Phone number: 212-998-2073
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