Stacey Marie Costich

NPI 1497905251 - Specialist - 174400000X

NPI Details
NPI 1497905251
Gender Female
Enumeration Date 09/29/2008
Last Updated 09/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
12005 TELEGRAPH RD
MEDINA NY, 14103-9678, US
Phone (585) 721-1241
Fax
Business Location
12005 TELEGRAPH RD
MEDINA NY, 14103-9678, US
Phone (585) 721-1241
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 006251-1
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According to our database, Stacey Marie Costich NPI is 1497905251, taxonomy code is 174400000X and license number is 006251-1, license state is located at New York. Stacey Marie Costich physically located at 12005 Telegraph Rd, Medina NY, 14103-9678. NPI Number Stacey Marie Costich has the Individual type.

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1497905251 NPI number is provided on an as is basis without warranty of any kind. 1497905251 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Marie Costich are for informational purposes only.