Provider Demographics
NPI:1285095141
Name:RAMAGLIA KOSTKOWICZ, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:RAMAGLIA KOSTKOWICZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 NEWTON AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-3719
Mailing Address - Country:US
Mailing Address - Phone:516-284-7419
Mailing Address - Fax:
Practice Address - Street 1:15 NEWTON AVE
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-3719
Practice Address - Country:US
Practice Address - Phone:516-284-7419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency