# JOHN J. COSTELLO, JR, DO, PLLC

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

## Provider details

- **NPI number:** 1609829662
- **Authorized official:** DR. JOHN J. COSTELLO, JR JR. MD (PHYSICIAN/ OWNER)
- **Authorized official phone:** (315) 363-1110

## Contact information

- **Practice address:** 578 SENECA ST, ONEIDA, NY 13421-2600
- **Practice address phone:** (315) 363-1110
- **Practice address fax:** (315) 363-4441
- **Mailing address:** 1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2859
- **Mailing address phone:** (315) 472-1488
- **Mailing address fax:** (315) 476-1792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 08/22/2020