| 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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