National Provider Identifier
Corey Costa, PA
Corey Costa, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Amherst, NY and a listed phone number of (716) 604-8487.
Profile Overview
- NPI
- 1891266102
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 13, 2018
- Last Updated
- July 11, 2024
Practice Location
- 3980A Sheridan Dr Ste 200
- Amherst, NY 14226-1741
Phone: (716) 604-8487
Mailing Address
- PO Box 488
- Buffalo, NY 14240-0488
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1891266102
- Entity Type
- Individual
- Last Name
- Costa
- First Name
- Corey
- Credential
- PA
- Mailing Street Address
- PO Box 488
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14240-0488
- Mailing Country
- US
- Mailing Phone
- (716) 852-4772
- Mailing Fax
- (716) 980-8011
- Practice Street Address
- 3980A Sheridan Dr Ste 200
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1741
- Practice Country
- US
- Practice Phone
- (716) 604-8487
- Practice Fax
- (716) 980-8011
- Enumeration Date
- December 13, 2018
- Last Updated
- July 11, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)