Individual provider · Type 1 NPI

Dolores Costello, N.P.

Licensed Practical Nurse · New York, NY

NPI number 1457419640 Active

Practice location

1111 Amsterdam Ave
New York, NY 10025-1716

Call (212) 523-4007 Map

Fax (212) 315-0196

Mailing address

1790 Broadway, 3rd Floor
New York, NY 10019-1412

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X430255 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1457419640

Dolores Costello, N.P.'s National Provider Identifier is 1457419640, issued on Dec 4, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New York, NY. The record was last updated on Oct 18, 2007.