Costanza, Michael J

Costanza, Michael J is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Costanza, Michael J can be contacted via phone (315) 464-1800.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2306
Phone: (315) 464-1800
Fax: (315) 464-6252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 232408 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 232408 New York

Profile Details

NPI number 1679523542
LBN Legal business name Costanza, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679523542 NPPES
New York Other P00201338 RAILROAD MEDICARE
New York MEDICAID 02560603 RAILROAD MEDICARE

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