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Contact Information

JOHN M COSTABLE JR, MD
600 NORTHERN BLVD
STE 106
GREAT NECK, NY11021-5200
 Phone: 516-466-6075
 Fax: 516-466-6044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for JOHN M COSTABLE JR · (Male)

NPI # 1043251184
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 198554
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care)
    ONE HEALTHY WAY
    OCEANSIDE, NY 11572
  • ST FRANCIS HOSPITAL ROSLYN - (Acute Care)
    100 PORT WASHINGTON BOULEVARD
    ROSLYN, NY 11576
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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