Individual
JOHN J COSTELLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
131 MAIN ST, SUITE 201, ONEIDA, NY 13421-1641
(315) 367-0264
(315) 693-0014
Mailing address
131 MAIN ST, SUITE 201, ONEIDA, NY 13421-1641
(315) 367-0264
(315) 693-0014
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
194090
NY
Other
Enumeration date
06/22/2005
Last updated
01/02/2015
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