Individual
DR. MARK --- COSTANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 RIDGE RD, HEALTHWORKS-WNY, LLP, WEST SENECA, NY 14224-3332
(716) 712-0670
(716) 712-0674
Mailing address
1900 RIDGE RD, HEALTHWORKS-WNY, LLP, WEST SENECA, NY 14224-3332
(716) 712-0670
(716) 712-0674
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
168031
NY
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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