DR. LOUIS J COSTELLO (NPI# 1932279023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932279023 |
| Entity Type | Individual |
| Full Name | DR. LOUIS J COSTELLO |
| Credential | DC |
| Practice Address |
325 Ushers Rd Ballston Lake NY 12019-1520 |
| Practice Telephone | 5188770234 |
| Mailing Telephone | 5188770234 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
X005314 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CDPHP | F10034971 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184720799 | Louis E Costello | Psychiatry & Neurology | 190 Civic Cir Ste 250, Lewisville, TX 75067-3648 | 2006-09-15 |
| Street Address |
325 USHERS RD |
| City | BALLSTON LAKE |
| State | NY |
| Zip Code | 12019-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932272226 | Joseph S. Gulyas | Chiropractor | 325 Ushers Rd, Ballston Lake, NY 12019-1520 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093254765 | Leah Bushey | Occupational Therapist | 4062 Jockey St, Charlton, NY 12019 | 2017-02-15 |
| 1033492160 | Katie Whelan | Speech-Language Pathologist | 9 St. Patrick Place, Ballston Lake, NY 12019 | 2011-09-26 |
| 1548564941 | Anthony Iannuccillo | Optometrist | 5 Wood Dale Dr., Ballston Lake, NY 12019 | 2010-12-29 |
| 1578886867 | Cynthia Sadauskas | Pharmacist | 806 Saratoga Rd, Burnt Hills, NY 12019 | 2010-03-01 |
| 1801065412 | Mary Bridget Murphy | Pharmacist | 806 Route 50, Burnt Hills, NY 12019 | 2008-02-27 |
| 1962617191 | Stephanie Yonkers | Nurse Practitioner | 318 Ruhle Rd. S., Ballston Lake, NY 12019 | 2007-05-11 |
| 1457574287 | David Brooks Pierce | Dentist | 110 Lake Rd., Ballston Lake, NY 12019 | 2007-04-10 |
| 1326123183 | Paul J Gauthier Sr. | Dentist | 397 Stage Rd, Charlton, NY 12019 | 2006-10-27 |
| 1942398300 | Irwin Bruce Finch | Dentist | 134 Wood Dale Drive, Ballston Lake, NY 12019 | 2006-10-11 |
| 1124053897 | Jerry Frank Maiello Jr. | Social Worker | 331 Ushers Road, Northway 10 Professional Park, Ballston Lake, NY 12019 | 2006-07-11 |
| Find all providers in zip 12019 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043859150 | Brian Lotempio | Chiropractor | 435 5th Ave Fl 4, New York, NY 10016-2208 | 2020-01-06 |
| 1912462714 | Binghamton Chiropractic Pllc | Chiropractor | 95 Court St Ste G1, Binghamton, NY 13901-3312 | 2019-02-05 |
| 1912415845 | Tjb Chiropractic Pllc | Chiropractor | 10 Hanover Square, New York, NY 10005 | 2018-01-12 |
| 1093249799 | Natural Approach Chiropractic, PC | Chiropractor | 13618 39th Ave Ste 706, Flushing, NY 11354-5583 | 2017-04-19 |
| 1356688691 | Dr. Michael Fernandez Chiropractic, P.C. | Chiropractor | 2543 Route 44 55, Gardiner, NY 12525-5214 | 2013-01-07 |
| 1407105554 | Leigh Damkohler, Dc, PC | Chiropractor | 8 Bacon Pl, Yonkers, NY 10710-1204 | 2012-09-05 |
| 1477859775 | Brad Lacroix | Chiropractor | 287 Fall St, Seneca Falls, NY 13148-1516 | 2011-02-03 |
| 1376849604 | Robert James Bencivenga | Chiropractor | 27 Cedar Swamp Rd, Glen Cove, NY 11542-3728 | 2011-02-03 |
| 1952568792 | Mark A Capodanno | Chiropractor | 6 Wainer Ct, Centerport, NY 11721-1523 | 2008-05-20 |
| 1720275654 | Daniel C Minocchi | Chiropractor | 4545 Transit Rd Ste 640, Williamsville, NY 14221-6012 | 2007-09-25 |
| Find all providers with the same taxonomy | ||||
| City | BALLSTON LAKE |
| Zip Code | 12019 |
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| 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.