Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDICE COSTANZO
Active Sole ProprietorCANDICE COSTANZO is a Specialist healthcare provider located in CLAY, New York. NPI 1477955268 is currently active in the NPPES registry. Verify at CMS.
Specialist · CLAY, NY
Registration Details
- NPI Number
- 1477955268
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2014 (11.746013113603 yrs)
- Last Updated
- Sep 23, 2014
- Licenses
-
625539951 (NY)625537951 (NY)625538951 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5235 POTENZA DRCLAY, NY, 130418813Browse NY providers · Browse ZIP 13041
- Phone
- 3156996998
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
- Additional Specialty
- Specialist
Other Specialist Providers in CLAY, NY
| Name | Credential | NPI |
|---|---|---|
| MS. LAURA NICKOLAI | COMS; CVRT | 1659634723 |
| MRS. MANAL ASEIN ZRAIK | MS | 1447653969 |
| LINDSAY PRIEST | — | 1467803320 |
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.