National Provider Identifier

Mary Abigail Thomas-Costello, LAC, LMT

Mary Abigail Thomas-Costello, LAC, LMT is listed in the NPPES registry with a primary specialty of Acupuncturist in Trumansburg, NY and a listed phone number of (607) 274-7520.

NPI 1720257173Trumansburg, NYAcupuncturist

Profile Overview

NPI
1720257173
Provider Type
Individual
Primary Specialty
Acupuncturist
Enumeration Date
February 29, 2008
Last Updated
April 25, 2012

Practice Location

  • 19 E. Main Street
  • Trumansburg, NY 14886

Phone: (607) 274-7520

Mailing Address

  • PO Box 386
  • 19 East Main Street
  • Trumansburg, NY 14886-0386

Specialties

  • Acupuncturist (171100000X)
Full Record
NPI
1720257173
Entity Type
Individual
Last Name
Thomas-Costello
First Name
Mary
Middle Name
Abigail
Credential
LAC, LMT
Mailing Street Address
PO Box 386
Mailing Address Line 2
19 East Main Street
Mailing City
Trumansburg
Mailing State
NY
Mailing ZIP Code
14886-0386
Mailing Country
US
Mailing Phone
(607) 274-7520
Mailing Fax
(607) 274-7520
Practice Street Address
19 E. Main Street
Practice City
Trumansburg
Practice State
NY
Practice ZIP Code
14886
Practice Country
US
Practice Phone
(607) 274-7520
Practice Fax
(607) 274-7520
Enumeration Date
February 29, 2008
Last Updated
April 25, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Acupuncturist (171100000X)