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Organization
JOHN J. COSTELLO, JR, DO, PLLC
Active
Organization
JOHN J. COSTELLO, JR, DO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J. COSTELLO, JR JR. MD (PHYSICIAN/ OWNER)
(315) 363-1110
Entity
Organization
Contact information
Practice address
578 SENECA ST, ONEIDA, NY 13421-2600
(315) 363-1110
(315) 363-4441
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 476-1792
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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