| NPI | 1730120536 |
|---|---|
| Former Legal Business Name | JOHN M COSTABLE MD, PC |
| Entity Type | Organization |
| Authorized Contact | JOHN M COSTABLE President 516-673-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2014-01-17 |