Individual
ALICE MARY COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10 S POINTE LNDG STE 250, ROCHESTER, NY 14606-3483
(585) 426-4084
(585) 426-4631
Mailing address
10 S POINTE LNDG STE 250, ROCHESTER, NY 14606-3483
(585) 426-4084
(585) 426-4631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F345596
NY
363LF0000X
Family Nurse Practitioner
Primary
345596
NY
Other
Enumeration date
10/18/2020
Last updated
07/03/2023
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