Individual provider · Type 1 NPI
Michael J. Costanza, MD
Vascular Surgery Physician · Syracuse, NY
NPI number
1679523542
Active
Practice location
750 E Adams St
Syracuse, NY 13210-2306
Fax (315) 464-6252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 232408 (NY) |
| Vascular Surgery Physician Primary | 2086S0129X | 232408 (NY) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1679523542
Michael J. Costanza, MD's National Provider Identifier is 1679523542, issued on May 11, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Syracuse, NY. The record was last updated on Aug 27, 2013.