Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLY JO COSTELLO
Active Sole ProprietorMS. KELLY JO COSTELLO is a Specialist healthcare provider located in PORT JEFFERSON, New York. NPI 1700653151 is currently active in the NPPES registry. Verify at CMS.
Specialist · PORT JEFFERSON, NY
Registration Details
- NPI Number
- 1700653151
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2023 (2.6780103702329 yrs)
- Last Updated
- Dec 6, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
299 HALLOCK AVENUEPORT JEFFERSON, NY, 11776Browse NY providers · Browse ZIP 11776
- Phone
- 5405328002
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in PORT JEFFERSON, NY
| Name | Credential | NPI |
|---|---|---|
| DR. MORTON L GLASER | MD | 1487657755 |
| AJAY V. BERDIA | M.D. | 1801891908 |
| MR. SALIM A MATAR | MD | 1609891571 |
| DR. YVON DAMOUR | M.D. | 1124114491 |
| MR. PHILIP JOSEPH CELESTINO | C.PED. | 1659493575 |
| MS. PAMELA CADEN | — | 1063707339 |
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.