Individual
DR. LYNNE DICOSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 BENTON AVE, MIDDLETOWN, NY 10940-5177
(845) 563-8000
Mailing address
2570 ROUTE 9W STE 10, CORNWALL, NY 12518-1370
(845) 220-3100
(845) 534-2940
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
151504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355931
—
NY
Enumeration date
08/18/2006
Last updated
06/06/2019
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