Paul Michael Costello in Staten Island - Clinical
Paul Michael Costello - NPI 1194930057
Paul Michael Costello is a Clinical in Staten Island, New York. Paul Michael Costello practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Michael Costello is 1194930057. The last update date is 2007-07-08.
Paul Michael Costello's current location address is 341 Oakland Ave, Staten Island, New York. You can contact this provider via phone number 9175842216 and fax number 7189811431. The mailing address for Paul Michael Costello is 341 Oakland Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Michael Costello |
|---|---|
| Address | 341 Oakland Ave, Staten Island, New York |
| Phone Number | 9175842216 |
| Fax Number | 7189811431 |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1194930057 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 341 Oakland Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103102130 |
| Phone Number | 9175842216 |
| Fax Number | 7189811431 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 036362-1 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identification code assigned to Paul Michael Costello by the Centers for Medicare & Medicaid Services?
The Paul Michael Costello has been issued the NPI (National Provider Identifier) 1194930057. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Paul Michael Costello?
The Paul Michael Costello is situated at 341 Oakland Ave, in the city of Staten Island, state of NY, with the zip code 103102130.
What is the Paul Michael Costello's specialty and taxonomy code?
The Paul Michael Costello's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194930057 to Paul Michael Costello?
The Paul Michael Costello received its 1194930057 assignment from the Centers for Medicare & Medicaid Services on 2007-05-14.
When was the information pertaining to Paul Michael Costello most recently updated or revised?
The details related to Paul Michael Costello, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.