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Individual
KRISTA COSTANTINO
Active
Individual
KRISTA COSTANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
272055-1
NY
364SA2200X
Adult Health Clinical Nurse Specialist
272055-01
NY
364SP0200X
Pediatric Clinical Nurse Specialist
272055-01
NY
Other
Enumeration date
12/15/2010
Last updated
06/12/2023
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