Bryan Patrick Costello, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

003236 Issued in NY

Practice address

140 E 14TH St
New York, NY 10003-4170

Phone

(212) 998-2073

NPI assigned

Dec 15, 2016

Last updated

Dec 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1346784915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034170",
            "telephone_number": "212-998-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034170",
            "telephone_number": "212-998-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "BRYAN",
        "middle_name": "PATRICK",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jean Costea, AGACNP
• Christopher Costea, PA-C
• Denisa Maria Costea, DO
• Kathleen Costello Bar-Tur, LCSW
• Antonia Costello, LCSW
• Christopher Kevin Costello, PT, DPT, SCS, CSCS
• Devon Elizabeth Costello
• Dolores Costello, N.P.
• Joseph Patrick Costello, PT, DPT
• Kristian Costello

• Athletic Trainer in New York, NY
• Providers in New York, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.