DR. RALPH THOMAS COSTAGLIOLA


Address: 71 Todt Hill Rd, Suite 106, Staten Island, NY 10314-4534
Phone: 7188153221

DR. RALPH THOMAS COSTAGLIOLA (NPI# 1730178120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730178120
Entity Type Individual
Full Name DR. RALPH THOMAS COSTAGLIOLA
Credential D.D.S.
Practice Address 71 Todt Hill Rd
Suite 106
Staten Island
NY 10314-4534
Practice Telephone 7188153221
Practice Fax Number 7188151710
Mailing Telephone 7188153221
Mailing Fax Number 7188151710
Enumeration Date 2005-10-18
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
042842 NY Dental Providers

Office Location

Street Address 71 TODT HILL RD
SUITE 106
City STATEN ISLAND
State NY
Zip Code 10314-4534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922480102 Justin Schussheim Dds PC Dentist 71 Todt Hill Rd, Suite 203, Staten Island, NY 10314-4510 2015-06-23
1760647044 Alexander Gekht Dentist 71 Todt Hill Rd, Ste 106, Staten Island, NY 10314-4534 2008-07-25
1144345539 Robert Conciatori Psychiatry & Neurology 71 Todt Hill Rd, Suite 201, Staten Island, NY 10314-4534 2007-03-21
1407933385 Richard Lapinsky Internal Medicine 71 Todt Hill Rd, Staten Island, NY 10314-4534 2006-10-31
1386755817 Peggy Ann Garjian Internal Medicine 71 Todt Hill Rd, Ste 201, Staten Island, NY 10314-4534 2006-08-31
1659334258 Paul M Tarantola Dentist 71 Todt Hill Rd, Staten Island, NY 10314-4534 2006-04-07

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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104338946 Liberty Oral Surgery Dentist 201 Edward Curry Ave Ste 101, Staten Island, NY 10314-7102 2017-11-02
1225316961 Paramount Oral Surgery and Dental Implant Center, LLC Dentist 201 Edward Curry Ave, Suite 101, Staten Island, NY 10314-7105 2011-07-29
1891000881 Jerry Sherman Dentist 638 Bard Ave, 1st Floor, Staten Island, NY 10310-3020 2010-08-13
1740316413 John A Lavinio Dentist 4300 Hylan Blvd, Staten Island, NY 10312-6505 2007-02-26
1760557417 Richard Stephen Berk Dentist 3377 Richmond Avenue, Staten Island, NY 10312 2006-11-21
1063475424 Jeremiah D'anna Dentist 4571 Hylan Blvd, Staten Island, NY 10312-6405 2006-04-07
1457785024 Oral Surgery Associates P.C. Dentist 4300 Hylan Blvd, Suite 2g, Staten Island, NY 10312-6507 2013-08-30
1649542523 Lydia Jane Lam Dentist 256 C Mason Ave, 3rd Floor, Staten Island, NY 10305 2012-02-07
1316217763 Staten Island Oral & Maxillofacial Surgery Dentist 256 Mason Ave # C, Staten Island, NY 10305-3408 2012-01-03
1700179124 Advanced Oral Surgery of Staten Island Dentist 2025 Richmond Ave, Suite Ll2, Staten Island, NY 10314-3937 2011-05-18
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Competitor

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City STATEN ISLAND
Zip Code 10314

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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