| Kathleen Teresa Costello, LAC | |
|
1239 N Country Rd Ste 3, Stony Brook, NY 11790-1920 | |
| (631) 601-6491 | |
| Not Available |
| Full Name | Kathleen Teresa Costello |
|---|---|
| Gender | Female |
| Speciality | Acupuncturist |
| Location | 1239 N Country Rd Ste 3, Stony Brook, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356055610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 007122 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Teresa Costello, LAC 1239 N Country Rd Ste 3, Stony Brook, NY 11790-1920 Ph: () - | Kathleen Teresa Costello, LAC 1239 N Country Rd Ste 3, Stony Brook, NY 11790-1920 Ph: (631) 601-6491 |
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