National Provider Identifier
Brian Michael Costello, BA
Brian Michael Costello, BA is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Hamburg, NY and a listed phone number of (716) 997-8450.
Profile Overview
- NPI
- 1962829416
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- March 22, 2014
- Last Updated
- March 22, 2014
Practice Location
- 5182 East Pkwy
- Hamburg, NY 14075-5748
Phone: (716) 997-8450
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1962829416
- Entity Type
- Individual
- Last Name
- Costello
- First Name
- Brian
- Middle Name
- Michael
- Name Prefix
- Mr.
- Credential
- BA
- Mailing Street Address
- 5182 East Pkwy
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-5748
- Mailing Country
- US
- Mailing Phone
- (716) 997-8450
- Practice Street Address
- 5182 East Pkwy
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-5748
- Practice Country
- US
- Practice Phone
- (716) 997-8450
- Enumeration Date
- March 22, 2014
- Last Updated
- March 22, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)