Individual
MARY ABIGAIL THOMAS-COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
19 E. MAIN STREET, TRUMANSBURG, NY 14886
(607) 274-7520
(607) 274-7520
Mailing address
PO BOX 386, 19 EAST MAIN STREET, TRUMANSBURG, NY 14886-0386
(607) 274-7520
(607) 274-7520
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25003352
NY
Other
Enumeration date
02/29/2008
Last updated
04/25/2012
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