Elene Jessica Costuck in Southampton - Clinical
Elene Jessica Costuck - NPI 1740318039
Elene Jessica Costuck is a Clinical in Southampton, New York. Elene Jessica Costuck practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elene Jessica Costuck is 1740318039. The last update date is 2007-07-08.
Elene Jessica Costuck's current location address is 492 N Main St # 2, Southampton, New York. You can contact this provider via phone number 6317266494. The mailing address for Elene Jessica Costuck is 492 N Main St # 2, Southampton, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elene Jessica Costuck |
|---|---|
| Address | 492 N Main St # 2, Southampton, New York |
| Phone Number | 6317266494 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1740318039 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 492 N Main St # 2 |
|---|---|
| City | Southampton |
| State | New York (NY) |
| Post Code | 119682804 |
| Phone Number | 6317266494 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 015628-1 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Elene Jessica Costuck by the Centers for Medicare & Medicaid Services?
The Elene Jessica Costuck has been issued the NPI (National Provider Identifier) 1740318039, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Elene Jessica Costuck's facilities are geographically located?
The facilities of Elene Jessica Costuck are physically situated at the following location: 492 N Main St # 2, Southampton, NY, 119682804.
What is Elene Jessica Costuck's area of expertise and its corresponding taxonomy classification?
The Elene Jessica Costuck's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1740318039 assigned to Elene Jessica Costuck?
The Elene Jessica Costuck was issued its 1740318039 on 2007-03-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Elene Jessica Costuck, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Elene Jessica Costuck, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC