Ann R Costello
Ann R Costello is a Non-Pharmacy Dispensing Site in Ithaca, New York. Licensed in New York. Registered with an NPI since 2014.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
217 N Aurora St Ste 2Ithaca, NY 14850-4345
Phone: (607) 273-2811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence 149866 (NY) |
|---|
Record details
| NPI number | 1144635087 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Scott Peterson — Cfo · (858) 625-2990 |
| Other names | Costello And Costello Mds |
| NPI enumerated | June 30, 2014 |
| Last updated in NPPES | January 13, 2017 |
| Mailing address | 9276 Scranton Rd, Suite 100, San Diego, CA 92121-7701 |
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-
Family Medicine Associates of Ithaca
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