Individual
CYNTHIA L. COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2129 STATE ROUTE 19, PARK 2 LOT 49, WELLSVILLE, NY 14895-9420
(585) 808-4740
(585) 593-3336
Mailing address
98 PINE ST, WELLSVILLE, NY 14895-1433
(585) 593-3218
(585) 593-3336
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
175219-1
NY
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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