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1629154091
MARK --- COSTANZA
WEST SENECA, NY
NPI
1629154091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2083X0100X Preventive Medicine, Occupational Medicine
(Licence: NY 168031)
Enumeration Date
2006-10-28
Last Update Date
2007-07-08
Business Address
Dr. MARK --- COSTANZA
1900 RIDGE RD HEALTHWORKS-WNY, LLP
WEST SENECA, NY 14224-3332
Phone number: 716-712-0670
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Mailing Address
Dr. MARK --- COSTANZA
1900 RIDGE RD HEALTHWORKS-WNY, LLP
WEST SENECA, NY 14224-3332
Phone number: 716-712-0670
Copy
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