JOSEPH COSTA

STATEN ISLAND, NY
NPI1467872622
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY  24202)
Enumeration Date2014-04-25
Last Update Date2014-04-25
Business Address
-- JOSEPH COSTA
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-612-5434
Mailing Address
-- JOSEPH COSTA
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: