MS. Dianne Costanzo, MSED SAS

NPI #1962176255 in Pond Eddy, New York

Provider Information

NPI Number: 1962176255
Entity Type: Individual
Name: MS. Dianne Costanzo, MSED SAS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MSED SAS
Enumeration Date: Aug 2, 2021
Last Updated: Aug 2, 2021

Practice Location

Address: 2661 ROUTE 97
City: Pond Eddy
State: New York
ZIP Code: 10528
Phone: (914) 708-6294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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