Individual
DR. MARK E COSTALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 IRVING AVE, PATHOLOGY, #9227, SYRACUSE, NY 13210-1687
(315) 470-7396
Mailing address
736 IRVING AVE, PATHOLOGY, #9227, SYRACUSE, NY 13210-1687
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
261809
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.093703
OH
Other
Enumeration date
01/11/2008
Last updated
07/31/2012
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