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

DR. LOUIS J COSTELLO, DC

Active Sole Proprietor

DR. LOUIS J COSTELLO, DC is a Sports Physician (Chiropractor) healthcare provider located in BALLSTON LAKE, New York. NPI 1932279023 is currently active in the NPPES registry. Verify at CMS.

Sports Physician (Chiropractor) · BALLSTON LAKE, NY

Registration Details

NPI Number
1932279023
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2006 (19.582463407688 yrs)
Last Updated
Jul 8, 2007
License
X005314 (NY)
Sole Proprietor
Yes

Practice Information

Address
325 USHERS RD
BALLSTON LAKE, NY, 120191520
Browse NY providers · Browse ZIP 12019
Phone
5188770234
Primary Specialty
Sports Physician (Chiropractor)
111NS0005X
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.