National Provider Identifier

Carly Costanza, MSPT

Carly Costanza, MSPT is listed in the NPPES registry with a primary specialty of Geriatric Physical Therapist in Rochester, NY and a listed phone number of (585) 275-1000.

NPI 1700101201Rochester, NYGeriatric Physical Therapist

Profile Overview

NPI
1700101201
Provider Type
Individual
Primary Specialty
Geriatric Physical Therapist
Enumeration Date
March 29, 2010
Last Updated
March 29, 2010

Practice Location

  • 1175 Monroe Ave
  • Rochester, NY 14610

Phone: (585) 275-1000

Mailing Address

  • 100 Willow Creek Lane
  • Rochester, NY 14622

Specialties

  • Geriatric Physical Therapist (2251G0304X)
Full Record
NPI
1700101201
Entity Type
Individual
Last Name
Costanza
First Name
Carly
Credential
MSPT
Mailing Street Address
100 Willow Creek Lane
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14622
Mailing Country
US
Practice Street Address
1175 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14610
Practice Country
US
Practice Phone
(585) 275-1000
Practice Fax
(585) 275-1100
Enumeration Date
March 29, 2010
Last Updated
March 29, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Geriatric Physical Therapist (2251G0304X)