Dominic James Costantino

NPI #1336605591 in Port Jervis, New York

Provider Information

NPI Number: 1336605591
Entity Type: Individual
Name: Dominic James Costantino
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 13, 2019
Last Updated: Feb 13, 2019

Practice Location

Address: 17 FRANKLIN STREET
City: Port Jervis
State: New York
ZIP Code: 12771
Phone: (718) 877-2907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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