| NPI | 1740573559 |
|---|---|
| Former Name | ANDREA M COSTELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 25004571) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 008828-01) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2025-02-28 |