| Doctor Name: | DR. RICHARD A. KOSTICK |
| NPI Number: | 1073582557 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | OS013100 |
| Business Practice Address: | 176 Denison Pkwy E Radiology Dept. - Corning Hospital Corning, NY - 148302814 |
| Business Phone Number: | 6079377200 |
| Business Fax Number: | 6079377860 |
| Mailing Address: | 1 Guthrie Sq, SAYRE |
| State: | PA |
| Postal Code: | 188401625 |
| Phone Number: | 5708885858 |
| Fax Number: | |
| NPI Enumeration Date: | 03/16/2006 |
| NPI Last Update Date: | 08/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | OS013100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |