Individual provider · Type 1 NPI

George J. Costanzo, DC

Psychiatric/Mental Health Nurse Practitioner · Southington, CT

NPI number 1467401802 Active

Practice location

340 N Main St
Southington, CT 06489-2529

Fax (860) 621-1533

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X8461 (CT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1467401802

George J. Costanzo, DC's National Provider Identifier is 1467401802, issued on May 10, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southington, CT. The record was last updated on Sep 6, 2019.