Orly Y Costo | |
10819 Rockaway Blvd South Ozone Park NY 11420-1034 | |
(718) 845-2620 | |
(718) 845-9380 |
Full Name | Orly Y Costo |
---|---|
Speciality | Community/behavioral Health |
Location | 10819 Rockaway Blvd, South Ozone Park, New York |
Authorized Official Name and Position | Orly Y Costo (SOCIAL WORKER) |
Authorized Official Contact | 6314642903 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Orly Y Costo 509 Adams Ave West Hempstead NY 11552-2707 Ph: () - | Orly Y Costo 10819 Rockaway Blvd South Ozone Park NY 11420-1034 Ph: (718) 845-2620 |
NPI Number | 1356717755 |
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Provider Enumeration Date | 08/19/2015 |
Last Update Date | 08/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356717755 | NPI | - | NPPES |
00087351 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 087351 (New York) | Primary |
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