| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHAYLYNN M COSTELLO | 1487260980 | 2020-09-21 |
Shaylynn M Costello is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487260980. Registration indicates Shaylynn M Costello is a provider of services with a specialization in Other Service Providers, Acupuncturist (Acupuncturist, ) (All Other Specialties & Provider Types, ) (Acupuncturist, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Shaylynn M Costello L.AC. |
| Practice Office Address | 2116 SUNSET AVE OCEAN, NJ US |
| Practice Office Telephone | 7324149423 |
| Mailing Address | 202 HILLCREST AVE NEPTUNE CITY, NJ 077535731 US |
| Business Telephone | 7327795064 |
| Code | Practice | License No State |
|---|---|---|
| 171100000X PRIMARY | Other Service Providers Acupuncturist Acupuncturist All Other Specialties & Provider Types Acupuncturist Other Service Providers | 25MZ00146000
NJ |