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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TAMARA COSTANZO

Active Sole Proprietor

MS. TAMARA COSTANZO is a Specialist healthcare provider located in MEDFORD, New York. NPI 1316521172 is currently active in the NPPES registry. Verify at CMS.

Specialist · MEDFORD, NY

Registration Details

NPI Number
1316521172
Provider Type
Individual
Gender
Female
NPI Issued
May 7, 2021 (5.2688402211523 yrs)
Last Updated
May 7, 2021
License
1301914191 (NY)
Sole Proprietor
Yes

Practice Information

Address
46 MEYER LN
MEDFORD, NY, 117634117
Browse NY providers · Browse ZIP 11763
Phone
6312893881
Primary Specialty
Specialist
174400000X

Other Specialist Providers in MEDFORD, NY

Name Credential NPI
DR. CLARA E LENGYEL-KREMENIC M.D. 1245288711
DR. DAVID M WINKLER M.D. 1407931371
COURTNEY LUGARO 1538215165
DANA MEREDITH KIEFER M.A. OTRL 1306986583
SUSAN F MILLER OTR 1467595090
DR. JAY DAVID GASSMAN 1265575898
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.