License holder summary

COSTALES FERNANDO is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for COSTALES FERNANDO is REGO PARK NY. This doctor license is not current. The license was granted 07/10/1967.

New York

Office of the Professions

COSTALES FERNANDO
Medicine (Physician, Including M Ds & D Os)
License number
099209
Date granted
07/10/1967
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
REGO PARK NY
nymedicine.org
ID 30119150
LAST UPDATED 2024-04-11 19:51:31 UTC

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