| Dr David J Costabile, MD | |
|
22 Saw Mill River Rd, 2nd Floor, Hawthorne, NY 10532-1533 | |
| (914) 366-0015 | |
| (914) 366-0012 |
| Full Name | Dr David J Costabile |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 22 Saw Mill River Rd, Hawthorne, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669441499 | NPI | - | NPPES |
| 02543460 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 221548 (New York) | Primary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | 221548 (New York) | Secondary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David J Costabile, MD 325 S Highland Ave Ste 106, Briarcliff Manor, NY 10510-2054 Ph: (914) 366-0015 | Dr David J Costabile, MD 22 Saw Mill River Rd, 2nd Floor, Hawthorne, NY 10532-1533 Ph: (914) 366-0015 |
Dr. Andrew Joseph Bellantoni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Skyline Dr Ste 800s, Hawthorne, NY 10532 Phone: 914-594-2150 | |
Jose L Munoz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Bradhurst Ave, Ste. 1400, Hawthorne, NY 10532 Phone: 914-493-8333 Fax: 914-594-4366 | |
Dr. Allyson M Flower, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Skyline Dr, 1n-j08, Hawthorne, NY 10532 Phone: 914-493-7997 | |
Maria E Lombardi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Bradhurst Ave, Ste. 800, Hawthorne, NY 10532 Phone: 914-593-8850 Fax: 914-593-8833 | |
Dr. Christa Linda Miliaresis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Bradhurst Ave, Department Of Pediatric Cardiology, Hawthorne, NY 10532 Phone: 914-594-4370 | |
Jeffrey E. Vergales, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 19 Bradhurst Ave Ste 1400, Hawthorne, NY 10532 Phone: 914-614-4250 | |
Aliza Esther Gardenswartz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 19 Bradhurst Ave, Hawthorne, NY 10532 Phone: 914-493-7997 |