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1649396060
STEPHEN JOHN COSTA
STATEN ISLAND, NY
NPI
1649396060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: NY X0C031)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- STEPHEN JOHN COSTA D.C.
22 ALBERT ST
STATEN ISLAND, NY 10301-4102
Phone number: 718-981-3575
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Mailing Address
-- STEPHEN JOHN COSTA D.C.
22 ALBERT ST
STATEN ISLAND, NY 10301-4102
Phone number: 718-981-3575
Copy
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