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Tamara Costanzo

NPI 1316521172 · on the registry since 2021 · sole proprietor

Practice

Address
46 Meyer Ln
Medford, NY 11763
Phone
(631) 289-3881
Clinicians at this address
2

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York