Dr Jennifer L Costa, AUD | |
1500 Ny-112, Building 4, 2nd Floor, Port Jefferson Station, NY 11776 | |
(631) 928-0188 | |
Not Available |
Full Name | Dr Jennifer L Costa |
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Gender | Female |
Speciality | Audiologist |
Location | 1500 Ny-112, Port Jefferson Station, 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 |
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1205080413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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231H00000X | Audiologist | 2240 (New York) | Primary |
Provider Name | Ent And Allergy Associates Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376598326 PECOS PAC ID: 0749193662 Enrollment ID: O20031107000043 |
Mailing Address | Practice Location Address |
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Dr Jennifer L Costa, AUD 660 White Plains Rd Fl 4, Tarrytown, NY 10591-5187 Ph: (914) 984-2552 | Dr Jennifer L Costa, AUD 1500 Ny-112, Building 4, 2nd Floor, Port Jefferson Station, NY 11776 Ph: (631) 928-0188 |
Dr. John Alan Martinetti, AU.D. CCC Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5225 Nesconset Hwy, Suite 10, Port Jefferson Station, NY 11776 Phone: 631-331-1888 Fax: 631-331-4724 | |
Dr. Nicole Marie Holden, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Route 112 Fl 2, Port Jefferson Station, NY 11776 Phone: 631-928-0188 Fax: 631-928-0185 | |
Mrs. Diane Marsh Davis, MA CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4747-8 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-331-6455 | |
East End Hearing And Speech Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4747-8 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-331-6455 | |
Sarah Lynn Savino, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112, Building 4 Second Fl, Port Jefferson Station, NY 11776 Phone: 631-928-0188 | |
Mr. Michael D Qualley, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4747-8 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-331-6455 |