Ann R Costello MD

NPI #1679955736 in Ithaca, New York

Provider Information

NPI Number: 1679955736
Entity Type: Organization
Organization Name: Ann R Costello MD
Primary Specialty: Nurse Practitioner - Family
Enumeration Date: Jun 25, 2015
Last Updated: Jun 25, 2015

Practice Location

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

Authorized Official

Name: DR. ANN R COSTELLO, MD
Title: OWNER
Phone: (607) 273-2811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X	Primary

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