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BEATRICE MARY DICOSTANZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
GNP

Contact information

Practice address
221 E BROWN ST, EAST STROUDSBURG, PA 18301-3005
(570) 421-6200
Mailing address
256 THE GLN, TAMIMENT, PA 18371-9716
(570) 588-7766

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340298-1
NY
363LG0600X
Gerontology Nurse Practitioner
SP008981
PA

Other

Enumeration date
11/22/2008
Last updated
11/22/2008
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