National Provider Identifier
John E Costello, MD
John E Costello, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (607) 273-2811.
Source: public NPPES record, last updated April 30, 2008. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1871589267
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- September 21, 2005
- Last Updated
- April 30, 2008
Practice Location
- 217 N Aurora St
- Ithaca, NY 14850-4345
Phone: (607) 273-2811
Specialties
- Internal Medicine Physician (207R00000X)
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Biography
John E. Costello, MD, is an Ithaca internist with internal medicine residency training at Vanderbilt University Medical Center and medical education at Johns Hopkins. His profile also lists him as a Clinical Instructor in Medicine and attending physician at Cayuga Medical, and Cayuga Health names him to the Cayuga Health Partners Performance Improvement Committee, which oversees quality measures and performance improvement work for the network.
Full Record
- NPI
- 1871589267
- Entity Type
- Individual
- Last Name
- Costello
- First Name
- John
- Middle Name
- E
- Credential
- MD
- Mailing Street Address
- 217 N Aurora St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4345
- Mailing Country
- US
- Mailing Phone
- (607) 273-2811
- Mailing Fax
- (607) 273-1170
- Practice Street Address
- 217 N Aurora St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4345
- Practice Country
- US
- Practice Phone
- (607) 273-2811
- Practice Fax
- (607) 273-1170
- Enumeration Date
- September 21, 2005
- Last Updated
- April 30, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 00715224 (NY), 4217992 (Aetna), 000910795001 (Healthnow)