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MRS. LYNETTE M COSTELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
999 SOUTH AVE, ROCHESTER, NY 14620-2746
(585) 461-3280
Mailing address
275 MEADOWLARK LN, VICTOR, NY 14564-8964
(585) 742-1338

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
007116-1
NY

Other

Enumeration date
09/02/2011
Last updated
09/02/2011
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