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Candice Costanzo
NPI 1477955268 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5235 Potenza Dr
Clay, NY 13041 - Phone
- (315) 699-6998
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 174400000X
174400000X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-23
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