Doctor Name: | JAMES COSTELLO |
NPI Number: | 1881021723 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 110 Adams St Saratoga Springs, NY - 128665002 |
Business Phone Number: | 5185837044 |
Business Fax Number: | 8883711793 |
Mailing Address: | 110 Adams St, SARATOGA SPRINGS |
State: | NY |
Postal Code: | 128665002 |
Phone Number: | 5185837044 |
Fax Number: | 8883711793 |
NPI Enumeration Date: | 10/10/2013 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |