# ANN R. COSTELLO, MD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528269230
- **Authorized official:** HOLLY L SINCEBAUGH (OFFICE MANAGER)
- **Authorized official phone:** (607) 256-8869

## Contact information

- **Practice address:** 217 N AURORA ST, ITHACA, NY 14850-4345
- **Practice address phone:** (607) 273-2811
- **Practice address fax:** (607) 273-1170
- **Mailing address:** 217 N AURORA ST, ITHACA, NY 14850-4345
- **Mailing address phone:** (607) 273-2811
- **Mailing address fax:** (607) 273-1170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 149866 | NY | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 07/19/2010