Individual
ASHLEY DICOSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 PARRISH ST, CANANDAIGUA, NY 14424-1731
(585) 396-6050
Mailing address
350 PARRISH ST, CANANDAIGUA, NY 14424-1731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039318-1
NY
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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