DANIEL CHARLES COSTELLO

COMMACK, NY
NPI1689770091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  0716949)
Enumeration Date2006-09-15
Last Update Date2007-07-08
Business Address
-- DANIEL CHARLES COSTELLO L.C.S.W.,C.A.S.A.C
37 PARKWAY DR N
COMMACK, NY 11725-5108
Phone number: 631-261-4400
Mailing Address
-- DANIEL CHARLES COSTELLO L.C.S.W.,C.A.S.A.C
37 PARKWAY DR N
COMMACK, NY 11725-5108
Phone number: 631-261-4400