Individual provider · Type 1 NPI

Corey Costa, PA

Physician Assistant · Hamburg, NY

NPI number 1891266102 Active

Practice location

5775 Maelou Dr
Hamburg, NY 14075-7419

Mailing address

8911 N Capital Of Texas Hwy Ste 1110
Austin, TX 78759-7203

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X023377 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1891266102

Corey Costa, PA's National Provider Identifier is 1891266102, issued on Dec 13, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hamburg, NY. The record was last updated on Apr 6, 2026.