NPI 1144635087
Ann R Costello
Practice location
- Address
- 217 N Aurora St Suite 2, Ithaca, NY 14850-4345
- Phone
- (607) 273-2811
- Mailing address
- 9276 Scranton Rd Suite 100, San Diego, CA 92121-7701
Authorised official
- Name
- Scott Peterson
- Title
- Cfo
- Phone
- (858) 625-2990
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1144635087
- Entity type
- Organization
- NPI issued
- 30 Jun 2014
- Record last updated
- 13 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.