| Robert Edward Costello, DC | |
|
9876 Queens Blvd, 1-f, Rego Park, NY 11374-4356 | |
| (718) 275-4194 | |
| (718) 275-4191 |
| Full Name | Robert Edward Costello |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 9876 Queens Blvd, Rego Park, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477679413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X2105-7 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Edward Costello, DC 9876 Queens Blvd, 1-f, Rego Park, NY 11374-4356 Ph: (718) 275-4194 | Robert Edward Costello, DC 9876 Queens Blvd, 1-f, Rego Park, NY 11374-4356 Ph: (718) 275-4194 |
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