Kaitlyn R Costello
Kaitlyn R Costello is a Student in an Organized Health Care Education/Training Program in Melville, New York. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
4 Dalewood PlMelville, NY 11747-1510
Phone: (631) 275-7104
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1730901802 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 29, 2024 |
| Last updated in NPPES | December 3, 2024 |
| Certification date | December 3, 2024 |
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