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1790857647
JAMES JOSEPH COSTA
COMMACK, NY
NPI
1790857647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 009869)
Enumeration Date
2006-11-15
Last Update Date
2024-02-07
Business Address
MR. JAMES JOSEPH COSTA PT ATC CSCS
16 SHIRLEY COURT
COMMACK, NY 11725-4122
Phone number: 631-864-3042
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Mailing Address
MR. JAMES JOSEPH COSTA PT ATC CSCS
16 SHIRLEY COURT
COMMACK, NY 11725-4122
Phone number:
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