Individual
MISS MICHELE MARIE COSTANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
590 6TH AVE, NEW YORK, NY 10011-2019
(646) 842-0153
Mailing address
508 REYNOLDS AVE, BRONX, NY 10465-3620
(646) 842-0153
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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