Jessica Maria Costosa-umina, PH D | |
3300 James St, Suite 100, Syracuse, NY 13206-2387 | |
(315) 422-0300 | |
(315) 479-8455 |
Full Name | Jessica Maria Costosa-umina |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 3300 James St, Syracuse, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205181518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 018161 (New York) | Primary |
Entity Name | Suny Health Science Center At Syracuse |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184974529 PECOS PAC ID: 7214833086 Enrollment ID: O20031211000420 |
Mailing Address | Practice Location Address |
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Jessica Maria Costosa-umina, PH D 3300 James St, Suite 100, Syracuse, NY 13206-2387 Ph: (315) 422-0300 | Jessica Maria Costosa-umina, PH D 3300 James St, Suite 100, Syracuse, NY 13206-2387 Ph: (315) 422-0300 |
Stephen Albert Maisto, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-6546 | |
Roger Di Pietro, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E Genesee St, 217, Syracuse, NY 13202 Phone: 315-422-0300 Fax: 315-479-8455 | |
Dr. Sipho Mbuqe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-3258 | |
Paige C Ouimette, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4317 E Genesee St, Suite 202, Syracuse, NY 13214 Phone: 315-436-5825 | |
Laura Lee Mcintyre, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-4842 Fax: 315-464-7564 | |
Gabrielle Adamitis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4400 | |
Dr. Mark Richard Minnick, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 620 Erie Blvd W, Syracuse, NY 13204 Phone: 315-425-4400 |