Individual
DR. LORI RENEE COSTA-MITRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
500 HELENDALE RD, SUITE 110, ROCHESTER, NY 14609-3173
(585) 586-2223
(585) 586-2224
Mailing address
218 SANDORIS CIR, ROCHESTER, NY 14622-3243
(585) 654-5327
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016267
NY
Other
Enumeration date
05/20/2006
Last updated
05/06/2015
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