Individual provider · Type 1 NPI

Amanda Lauren Costanzo, PA-C

Medical Physician Assistant · New York, NY

NPI number 1043776941 Active

Practice location

550 1st Ave
New York, NY 10016-6402

Call (212) 263-7300 Map

Mailing address

3 Jackson Ter
Freehold, NJ 07728-2213

Other practice locations

  • 630 W 168th St, New York, NY 10032-3725 · (212) 305-2862
  • 222 E 41st St Fl 12, New York, NY 10017-6739 · (646) 825-6300

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X023283 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1043776941

Amanda Lauren Costanzo, PA-C's National Provider Identifier is 1043776941, issued on Feb 15, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Nov 14, 2023.