Peter A Costalos Dmd Pc | |
462 Bay Ridge Pkwy Brooklyn NY 11209-2702 | |
(718) 238-9888 | |
(718) 745-4625 |
Full Name | Peter A Costalos Dmd Pc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 462 Bay Ridge Pkwy, Brooklyn, New York |
Authorized Official Name and Position | Peter A Costalos (PRESIDENT) |
Authorized Official Contact | 7182389888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peter A Costalos Dmd Pc 462 Bay Ridge Pkwy Brooklyn NY 11209-2702 Ph: (718) 238-9888 | Peter A Costalos Dmd Pc 462 Bay Ridge Pkwy Brooklyn NY 11209-2702 Ph: (718) 238-9888 |
NPI Number | 1225475494 |
---|---|
Provider Enumeration Date | 05/29/2013 |
Last Update Date | 05/29/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225475494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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