Provider Demographics
NPI:1215674932
Name:KOSTE, ERICA (PSYD)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:KOSTE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:PAZMINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1991 MARCUS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-2057
Mailing Address - Country:US
Mailing Address - Phone:516-358-1808
Mailing Address - Fax:
Practice Address - Street 1:1991 MARCUS AVE STE 104
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-2058
Practice Address - Country:US
Practice Address - Phone:516-358-1808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-14
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent