Ann R. Costello, MD

NPI #1528269230 in Ithaca, New York

Provider Information

NPI Number: 1528269230
Entity Type: Organization
Organization Name: Ann R. Costello, MD
Primary Specialty: Internal Medicine
Enumeration Date: May 30, 2007
Last Updated: Jul 19, 2010

Practice Location

Address: 217 N AURORA ST
City: Ithaca
State: New York
ZIP Code: 14850-4345
Phone: (607) 273-2811

Authorized Official

Name: HOLLY L SINCEBAUGH
Title: OFFICE MANAGER
Phone: (607) 256-8869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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