MRS. Elizabeth Ruth Costello

NPI #1548538119 in Corning, New York

Provider Information

NPI Number: 1548538119
Entity Type: Individual
Name: MRS. Elizabeth Ruth Costello
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Dec 9, 2011
Last Updated: Dec 9, 2011

Practice Location

Address: 11 WEST THIRD STREET
Address 2: CORNING FREE ACADEMY
City: Corning
State: New York
ZIP Code: 14830
Phone: (607) 654-2803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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