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DOMINIC COSTABILE
NPI 1164955050
Student in an Organized Health Care Education/Training Program in Ellicott City, MD

Active since April 06, 2017
13136 WILLIAMFIELD DR, ELLICOTT CITY, MD 21042(443) 878-4692 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominic Costabile NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIC COSTABILE (NPI 1164955050) is an individual student in an organized health care education/training program in Ellicott City, Maryland and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1164955050
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDOMINIC COSTABILE
Location Address13136 WILLIAMFIELD DREllicott City, MD 21042-1138
Mailing Address13136 Williamfield DrEllicott City, MD 21042-1138 · (443) 878-4692
Phone(443) 878-4692
Sole ProprietorYes
Enumeration DateApril 6, 2017
✔ NPI 1164955050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
13136 WILLIAMFIELD DR, Ellicott City, MD 21042
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominic Costabile's NPI number?

The NPI number for Dominic Costabile is 1164955050. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Dominic Costabile located?

Dominic Costabile practices at 13136 Williamfield Dr, Ellicott City, MD 21042. The listed phone number is (443) 878-4692.

What is Dominic Costabile's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dominic Costabile was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.