Individual provider · Type 1 NPI
Dianne Costanzo, MSED SAS
Specialist · Pond Eddy, NY
NPI number
1962176255
Active
Practice location
2661 Route 97
Pond Eddy, NY 10528
Mailing address
15 Tamarac Trl
Harrison, NY 10528-1817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 941190991 (NY) |
| Specialist Primary | 174400000X | None listed |
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.
About NPI 1962176255
Dianne Costanzo, MSED SAS's National Provider Identifier is 1962176255, issued on Aug 2, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pond Eddy, NY. The record was last updated on Aug 2, 2021.