Michelle Costantino

NPI #1447661095 in Glen Cove, New York

Provider Information

NPI Number: 1447661095
Entity Type: Individual
Name: Michelle Costantino
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: May 16, 2014
Last Updated: May 16, 2014

Practice Location

Address: 16 GRUBER DR
City: Glen Cove
State: New York
ZIP Code: 11542-3237
Phone: (516) 220-5516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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