Individual
ANNE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 65TH ST APT 2G, BROOKLYN, NY 11220-4960
(347) 557-9827
Mailing address
350 65TH ST APT 2G, BROOKLYN, NY 11220-4960
(347) 557-9827
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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