Doctor Name: | MR. ROBERT JOHN COSTIERA |
NPI Number: | 1235203142 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS PT |
License Number: | 023738 |
Business Practice Address: | 15803 91st St Howard Beach, NY - 114143117 |
Business Phone Number: | 7188489400 |
Business Fax Number: | 7188487934 |
Mailing Address: | 15803 91st St, HOWARD BEACH |
State: | NY |
Postal Code: | 114143117 |
Phone Number: | 7188489400 |
Fax Number: | 7188487934 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 02/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 023738 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |