Individual
JESSICA MARIA COSTOSA-UMINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
3300 JAMES ST, SUITE 100, SYRACUSE, NY 13206-2387
(315) 422-0300
(315) 479-8455
Mailing address
3300 JAMES ST, SUITE 100, SYRACUSE, NY 13206-2387
(315) 422-0300
(315) 479-8455
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018161
NY
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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