Colleen Costello, is a
Speech-language Pathologist based in N Syracuse, New York. Colleen Costello is licensed to practice in New York (license number 005982) and her current practice location is
5590 Bear Rd, N Syracuse, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 218-2400.
NPI number for Colleen Costello is 1376853895 and her current mailing address is 209 Bronson Rd, Syracuse, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376853895.
Healthcare Provider's Profile
| Full Name | Colleen Costello |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 5590 Bear Rd, N Syracuse, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376853895
- Provider Enumeration Date: 10/18/2010
- Last Update Date: 10/18/2010
Medical Identifiers
Medical identifiers for Colleen Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376853895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 005982 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colleen Costello is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Colleen Costello,
209 Bronson Rd,
Syracuse, NY 13219
Ph: (315) 278-6932 | Colleen Costello,
5590 Bear Rd,
N Syracuse, NY 13212-1649
Ph: (315) 218-2400 |
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