Costanza, Salvatore

Costanza, Salvatore is an individual health care provider with primary practice located at 155 Indian Head Rd , Commack NY 11725-2212. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Costanza, Salvatore can be contacted via phone (631) 543-6200.

Contact Information

Primary practice address
155 Indian Head Rd Commack NY 11725-2212
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 25265 New York

Profile Details

NPI number 1518346139
LBN Legal business name Costanza, Salvatore
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2015
Last updated May 28th, 2015 - about 9 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 1518346139 NPPES
New York Other 25265 OASAS

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