Organization
ANN R. COSTELLO, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY L SINCEBAUGH (OFFICE MANAGER)
(607) 256-8869
Entity
Organization
Contact information
Practice address
217 N AURORA ST, ITHACA, NY 14850-4345
(607) 273-2811
(607) 273-1170
Mailing address
217 N AURORA ST, ITHACA, NY 14850-4345
(607) 273-2811
(607) 273-1170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
149866
NY
Other
Enumeration date
05/30/2007
Last updated
07/19/2010
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