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1790289197
NICHOLAS JOHN COSTABLE
NEW YORK, NY
NPI
1790289197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-20
Last Update Date
2018-03-20
Business Address
NICHOLAS JOHN COSTABLE MD
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029-6504
Phone number: 516-987-0794
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Mailing Address
NICHOLAS JOHN COSTABLE MD
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029-6504
Phone number:
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