National Provider Identifier
Kevin Costanzo, RD
Kevin Costanzo, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 989-9199.
Profile Overview
- NPI
- 1780207530
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- May 27, 2020
- Last Updated
- May 27, 2020
Practice Location
- 34 Benwood Ave
- Buffalo, NY 14214-1761
Phone: (716) 989-9199
Mailing Address
- 62 Peppertree Dr
- Buffalo, NY 14228-2901
Specialties
- Registered Dietitian (133V00000X)
Endpoints
- BUFFALO
Connect Url | Buffalo, NY 14214
Full Record
- NPI
- 1780207530
- Entity Type
- Individual
- Last Name
- Costanzo
- First Name
- Kevin
- Credential
- RD
- Mailing Street Address
- 62 Peppertree Dr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14228-2901
- Mailing Country
- US
- Mailing Phone
- (716) 597-7559
- Practice Street Address
- 34 Benwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-1761
- Practice Country
- US
- Practice Phone
- (716) 989-9199
- Enumeration Date
- May 27, 2020
- Last Updated
- May 27, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 27, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)