Individual provider · Type 1 NPI
Candice Costanzo
Specialist · Clay, NY
NPI number
1477955268
Active
Practice location
5235 Potenza Dr
Clay, NY 13041-8813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 625539951 (NY) |
| Specialist | 174400000X | 625537951 (NY) |
| Specialist | 174400000X | 625538951 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Clay
About NPI 1477955268
Candice Costanzo's National Provider Identifier is 1477955268, issued on Sep 23, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Clay, NY. The record was last updated on Sep 23, 2014.