SearchNew York164W00000X

Shelly Costello

NPI 1871943084 · on the registry since 2016

Practice

Address
4 Valerie Ln
Loudonville, NY 12211
Phone
(518) 495-3781

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-18

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