Individual
KRISTEN COSTANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(551) 697-6800
Mailing address
39 W 33RD ST APT 2, BAYONNE, NJ 07002-3907
(551) 697-6800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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