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1649593211
MICHAEL JOHN COSTELLO
ITHACA, NY
NPI
1649593211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: NY 017819-1)
Enumeration Date
2010-03-10
Last Update Date
2010-03-10
Business Address
-- MICHAEL JOHN COSTELLO PT
310 TAUGHANNOCK BLVD
ITHACA, NY 14850-3251
Phone number: 607-252-3500
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Mailing Address
-- MICHAEL JOHN COSTELLO PT
310 TAUGHANNOCK BLVD
ITHACA, NY 14850-3251
Phone number: 607-252-3500
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