National Provider Identifier
Mark Joseph Costello, PT
Mark Joseph Costello, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lockport, NY and a listed phone number of (716) 433-4998.
Profile Overview
- NPI
- 1851547004
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 07, 2008
- Last Updated
- August 07, 2008
Practice Location
- 60 Morrow Ave
- Lockport, NY 14094-5015
Phone: (716) 433-4998
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1851547004
- Entity Type
- Individual
- Last Name
- Costello
- First Name
- Mark
- Middle Name
- Joseph
- Name Prefix
- Mr.
- Credential
- PT
- Mailing Street Address
- 60 Morrow Ave
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-5015
- Mailing Country
- US
- Mailing Phone
- (716) 433-4998
- Practice Street Address
- 60 Morrow Ave
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-5015
- Practice Country
- US
- Practice Phone
- (716) 433-4998
- Enumeration Date
- August 07, 2008
- Last Updated
- August 07, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)