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THOMAS E. COSTELLO, MD, PT, PLLC

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Company Details

Name: THOMAS E. COSTELLO, MD, PT, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Oct 2015 (10 years ago)
Entity Number: 4830064
ZIP code: 11746
County: Suffolk
Place of Formation: New York
Address: P.O. BOX 464, HUNTINGTON STATION, NY, United States, 11746

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent P.O. BOX 464, HUNTINGTON STATION, NY, United States, 11746

National Provider Identifier

NPI Number:
1811367402
Certification Date:
2023-03-14

Authorized Person:

Name:
THOMAS E COSTELLO
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
160205000762 2016-02-05 CERTIFICATE OF PUBLICATION 2016-02-05
151006000292 2015-10-06 ARTICLES OF ORGANIZATION 2015-10-06

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State