Individual
CARLY COSTANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1175 MONROE AVE, ROCHESTER, NY 14610
(585) 275-1000
(585) 275-1100
Mailing address
100 WILLOW CREEK LANE, ROCHESTER, NY 14622
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
027223
NY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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