ANTHONY JAMES COSTA

SMITHTOWN, NY
NPI1760974513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-06-06
Last Update Date2018-06-06
Business Address
ANTHONY JAMES COSTA ATC
267 E MAIN ST STE B5
SMITHTOWN, NY 11787-2848
Phone number: 631-724-3150
Mailing Address
ANTHONY JAMES COSTA ATC
267 E MAIN ST STE B5
SMITHTOWN, NY 11787-2848
Phone number: 631-724-3150
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