Most Relevant Information
Provider Data
| NPI Number: | 1003197146 |
| Provider Name: | LYNETTE M COSTELLO OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 174H00000X |
| Specialty: | Health Educator |
| License Number: | 007116-1 |
Most Important Dates
| Enumeration Date: | 09/02/2011 |
| Last Updated: | 09/02/2011 |
Provider Practice Location
999 SOUTH AVE
ROCHESTER
NY
146202746
Practice Location Phone/Fax
| Phone: | 5854613280 |
| Fax: |
Provider Mailing Location
275 MEADOWLARK LN
VICTOR
NY
145648964
Provider Mailing Phone/Fax
| Phone: | 5857421338 |
| Fax: |