SearchNew York174400000X

Kelly Costello

NPI 1700653151 · on the registry since 2023 · sole proprietor

Practice

Address
299 Hallock Avenue
Port Jefferson, NY 11776
Phone
(540) 532-8002
Clinicians at this address
2

Registry record

Primary taxonomy
174400000X
174400000X
Sex
Female
Record last updated
2023-12-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York