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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK P KOSTELAK, CCP

Active Sole Proprietor

MARK P KOSTELAK, CCP is a Orthotic Fitter healthcare provider located in NEW ORLEANS, Louisiana. NPI 1578161105 is currently active in the NPPES registry. Verify at CMS.

Orthotic Fitter · NEW ORLEANS, LA

Registration Details

NPI Number
1578161105
Provider Type
Individual
Gender
Male
NPI Issued
Oct 15, 2020 (5.7975599293216 yrs)
Last Updated
Oct 15, 2020
License
PEF.200076
Sole Proprietor
Yes

Practice Information

Address
SOUTHEAST LOUISIANA VETERANS HEALTH CARE SYSTEM
2400 CANAL STREET
NEW ORLEANS, LA, 70119
Browse LA providers · Browse ZIP 70119
Phone
5047845364
Primary Specialty
Orthotic Fitter
242T00000X

Other Orthotic Fitter Providers in NEW ORLEANS, LA

Name Credential NPI
CHARLES MAJOR 1013515253
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.