Robert Joseph Costello, PA-C Valid NPI

Individual provider · Physician Assistant · Manhasset, NY

NPI

1265559876

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

007789 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-26

Last updated

2007-07-08