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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANN R COSTELLO, MD

Active Sole Proprietor

ANN R COSTELLO, MD is a Internal Medicine healthcare provider located in ITHACA, New York. NPI 1235125626 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · ITHACA, NY

Registration Details

NPI Number
1235125626
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2005 (20.857748495453 yrs)
Last Updated
Jan 24, 2024
Licenses
149866 (NY)
149866 (NY)
Sole Proprietor
Yes

Practice Information

Address
217 N AURORA ST
ITHACA, NY, 148504345
Browse NY providers · Browse ZIP 14850
Phone
6072732811
Fax
6072731170
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in ITHACA, NY

Name Credential NPI
DR. ADAM LAW M.D. 1023014974
MRS. KATHERINE WORRELL WILLIAMS N.P. 1184616609
JOHN E COSTELLO MD 1871589267
DR. WALTER EDWARD MARGIE III M.D. 1427033349
TIMOTHY M CARDINA MD 1114907847
JAMES MACMILLAN M.D. 1376514919
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.