ROBERTA DIANNE COSTANZO

MELVILLE, NY
NPI1447609136
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F401051-1)
Enumeration Date2016-06-03
Last Update Date2016-06-03
Business Address
-- ROBERTA DIANNE COSTANZO
37 EASTFIELD LN
MELVILLE, NY 11747-1606
Phone number: 631-848-3050
Mailing Address
-- ROBERTA DIANNE COSTANZO
37 EASTFIELD LN
MELVILLE, NY 11747-1606
Phone number: 631-848-3050
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