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1376529420
CONNIE KOSTACOS
NEW YORK, NY
NPI
1376529420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 2002961)
Enumeration Date
2005-12-21
Last Update Date
2012-08-14
Business Address
Dr. CONNIE KOSTACOS
3959 BROADWAY
NEW YORK, NY 10032-1559
Phone number: 212-304-7250
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Mailing Address
Dr. CONNIE KOSTACOS
3959 BROADWAY
NEW YORK, NY 10032-1559
Phone number: 212-304-7250
Copy
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