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1891266102
COREY COSTA
AMHERST, NY
NPI
1891266102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-12-13
Last Update Date
2024-07-11
Business Address
COREY COSTA PA
3980A SHERIDAN DR STE 200
AMHERST, NY 14226-1741
Phone number: 716-604-8487
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Mailing Address
COREY COSTA PA
PO BOX 488
BUFFALO, NY 14240-0488
Phone number: 716-852-4772
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