Individual
JOEL COSTANZO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(716) 278-4348
Mailing address
2756 GRAND AVE, NIAGARA FALLS, NY 14301-2428
(716) 998-0316
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
062118
NY
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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