Dr. Connie Kostacos
Pediatrics | Female
Dr. Connie Kostacos is a New York, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Connie Kostacos is
3959 Broadway, New York, New York - 10032-1559. She can be contacted on phone at
212-304-7250.
Dr. Connie Kostacos is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Connie Kostacos is
1376529420 which was assigned by NPPES on 21 Dec, 2005 and it was last updated on 14 Aug, 2012.
Dr. Connie Kostacos license number is
2002961 for Pediatrics (208000000X) in New York.
Dr. Connie Kostacos is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Connie Kostacos basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Dr. Connie Kostacos |
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Gender : | Female |
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Business Address:
Dr. Connie Kostacos address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 3959 Broadway New York, NY, 10032-1559 United States |
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Phone Number : | 212-304-7250 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1376529420 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 21 Dec, 2005 |
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Last Updated On : | 14 Aug, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Connie Kostacos are as mentioned. Primary taxonomy code for Dr. Connie Kostacos is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | 2002961 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Connie Kostacos such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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01694655 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 3959 Broadway New York, NY, 10032-1559 United States |
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Phone Number : | 212-304-7250 |
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Business Location:
Patients can refer following map for directions to
Dr. Connie Kostacos practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.