institution
Ann R Costello Md
Family Nurse Practitioner in Ithaca, New York
NPI 1679955736

Ann R Costello Md is a Family Nurse Practitioner based in Ithaca, NY and is specialized in Family. Ann R Costello Md practices in Ithaca, NY. The NPI Number for Ann R Costello Md is 1679955736 and holds a License No. F338797-1 (New York).

The current practice location address for Ann R Costello Md is 217 N Aurora St, Ithaca, NY and can be reached out via phone at 607-273-2811 and via fax at 607-273-1170.

Location: 217 N Aurora St, Ithaca, NY, 14850-4345
institution
Provider Profile Details
NPI Number
1679955736
Provider Name
Ann R Costello Md
Credential
Provider Entity Type
Organization
Address
217 N Aurora St, Ithaca, NY, 14850-4345
Phone Number
607-273-2811
Fax Number
607-273-1170
Provider Enumeration Date
06/25/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F338797-1 01 NY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
217 N Aurora St
City
State
Zip
14850-4345
Phone Number
607-273-2811
Fax Number
607-273-1170
person
Provider Business Mailing Address Details
Address
217 N Aurora St
City
State
Zip
14850-4345
Phone Number
607-273-2811
Fax Number
607-273-1170
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F338797-1 (New York)
Definition
Definition to come...
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