William Costigan Jr., LAC.
Individual provider Active NPI Acupuncturist · Elmsford, NY
NPI 1396921847 · NPPES record last updated Jan 15, 2008
Key facts
- NPI
- 1396921847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 003726 (NY)
- Practice address
- 150 Clearbrook Rd
Elmsford, NY 10523-1117 - Phone
- (914) 708-9854
- NPI assigned
- Jan 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003726 | NY | MD | Nutritionist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 003726 | NY | Yes |
Addresses
Primary practice location
150 Clearbrook Rd
Elmsford, NY 10523-1117
Mailing address
10 Birch Rd
Putnam Valley, NY 10579-1304
Phone (845) 528-1729
Other providers in Elmsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.