Individual
KEVIN COSTANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
34 BENWOOD AVE, BUFFALO, NY 14214-1761
(716) 989-9199
Mailing address
62 PEPPERTREE DR, BUFFALO, NY 14228-2901
(716) 597-7559
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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