Active NPIIndividual provider

Miss Kimberly Costa

Specialist in Staten Island, New York

NPI Number1518229814
Practice location
1000 South Ave # 2, Staten Island, NY 10314-3409
Fax
—
Last updated
June 12, 2012

Kimberly Costa is a Specialist based in Staten Island, NY. Kimberly Costa practices in Staten Island, NY. The NPI Number for Kimberly Costa is 1518229814 and holds a License No. 871641 (NY). The current practice location address for Kimberly Costa is 1000 South Ave # 2, Staten Island, NY 10314-3409 and can be reached out via phone at 718-477-0961.

Provider Profile Details

NPI Number
1518229814
Provider Name
Kimberly Costa
Provider Entity Type
Individual
Gender
Female
Address
1000 South Ave # 2, Staten Island, NY 10314-3409
Phone Number
718-477-0961
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
June 12, 2012
Last Update Date
June 12, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1000 South Ave # 2
Staten Island, NY 10314-3409
Zip
10314-3409
Phone Number
718-477-0961
Staten Island, NY 10314Get directions →

Provider Business Mailing Address Details

Address
175 Vogel Ave Apt 2
Staten Island, NY 10309-3030
City
Staten Island
State
NY
Zip
10309-3030
Phone Number
908-623-7500

License Information

License Number
871641
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Kimberly Costa?

The NPI number of Miss Kimberly Costa is 1518229814. It was assigned on June 12, 2012 and is currently active in the NPPES registry.

What is the specialty of Miss Kimberly Costa?

Miss Kimberly Costa is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 871641.

Where does Miss Kimberly Costa practice?

The practice location is 1000 South Ave # 2, Staten Island, NY 10314-3409. The office can be reached at 718-477-0961 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518229814 directly on the NPPES registry website.

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