| Ann R. Costello, Md | |
|
217 N Aurora St Ithaca NY 14850-4345 | |
| (607) 273-2811 | |
| (607) 273-1170 |
| Full Name | Ann R. Costello, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 217 N Aurora St, Ithaca, New York |
| Authorized Official Name and Position | Holly L Sincebaugh (OFFICE MANAGER) |
| Authorized Official Contact | 6072568869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann R. Costello, Md 217 N Aurora St Ithaca NY 14850-4345 Ph: (607) 273-2811 | Ann R. Costello, Md 217 N Aurora St Ithaca NY 14850-4345 Ph: (607) 273-2811 |
| NPI Number | 1528269230 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 07/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528269230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 149866 (New York) | Primary |
Primary Care Internal Medicine Of Ithaca, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 N Aurora St, Ithaca, NY 14850 Phone: 607-273-2811 Fax: 607-273-1170 | |
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