Individual provider · Type 1 NPI

Siobhan Bridget Costigliola

Specialist · Port Jefferson Station, NY

NPI number 1871854935 Active

Practice location

2 Dorothy St
Port Jefferson Station, NY 11776-1740

Call (631) 473-6954 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X640145 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1871854935

Siobhan Bridget Costigliola's National Provider Identifier is 1871854935, issued on Jun 6, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jun 6, 2012.