National Provider Identifier
Mark --- Costanza
Mark --- Costanza is listed in the NPPES registry with a primary specialty of Occupational Medicine Physician in West Seneca, NY and a listed phone number of (716) 712-0670.
Profile Overview
- NPI
- 1629154091
- Provider Type
- Individual
- Primary Specialty
- Occupational Medicine Physician
- Enumeration Date
- October 28, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1900 Ridge RD
- Healthworks-Wny, LLP
- West Seneca, NY 14224-3332
Phone: (716) 712-0670
Specialties
- Occupational Medicine Physician (2083X0100X)
Full Record
- NPI
- 1629154091
- Entity Type
- Individual
- Last Name
- Costanza
- First Name
- Mark
- Middle Name
- ---
- Name Prefix
- Dr.
- Mailing Street Address
- 1900 Ridge RD
- Mailing Address Line 2
- Healthworks-Wny, LLP
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-3332
- Mailing Country
- US
- Mailing Phone
- (716) 712-0670
- Mailing Fax
- (716) 712-0674
- Practice Street Address
- 1900 Ridge RD
- Practice Address Line 2
- Healthworks-Wny, LLP
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3332
- Practice Country
- US
- Practice Phone
- (716) 712-0670
- Practice Fax
- (716) 712-0674
- Enumeration Date
- October 28, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Medicine Physician (2083X0100X)