National Provider Identifier
Maxwell G Costich, MD
Maxwell G Costich, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in East Amherst, NY and a listed phone number of (716) 408-6310.
Profile Overview
- NPI
- 1952049991
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 20, 2022
- Last Updated
- May 20, 2022
Practice Location
- 5887 Bent Brook Ct
- East Amherst, NY 14051-1940
Phone: (716) 408-6310
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1952049991
- Entity Type
- Individual
- Last Name
- Costich
- First Name
- Maxwell
- Middle Name
- G
- Credential
- MD
- Mailing Street Address
- 5887 Bent Brook Ct
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-1940
- Mailing Country
- US
- Mailing Phone
- (716) 408-6310
- Practice Street Address
- 5887 Bent Brook Ct
- Practice City
- East Amherst
- Practice State
- NY
- Practice ZIP Code
- 14051-1940
- Practice Country
- US
- Practice Phone
- (716) 408-6310
- Enumeration Date
- May 20, 2022
- Last Updated
- May 20, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 13, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)