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Mrs. Siobhan Bridget Costigliola
Specialist in Port Jefferson Station, New York
NPI 1871854935

Siobhan Bridget Costigliola is a Specialist based in Port Jefferson Station, NY. Siobhan Bridget Costigliola practices in Port Jefferson Station, NY. The NPI Number for Siobhan Bridget Costigliola is 1871854935 and holds a License No. 640145 (New York).

The current practice location address for Siobhan Bridget Costigliola is 2 Dorothy St, Port Jefferson Station, NY and can be reached out via phone at 631-473-6954.

Location: 2 Dorothy St, Port Jefferson Station, NY, 11776-1740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871854935
Provider Name
Siobhan Bridget Costigliola
Credential
Provider Entity Type
Individual
Gender
Female
Address
2 Dorothy St, Port Jefferson Station, NY, 11776-1740
Phone Number
631-473-6954
Fax Number
Provider Enumeration Date
06/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2 Dorothy St
City
Port Jefferson Station
State
New York
Zip
11776-1740
Phone Number
631-473-6954
Fax Number
person
Provider Business Mailing Address Details
Address
2 Dorothy St
City
Port Jefferson Station
State
New York
Zip
11776-1740
Phone Number
631-473-6954
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
640145 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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