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Contact Information

ANTHONY T COSTANZO, PTA
44 JEANETTE AVE
STATEN ISLAND, NY10312
 Phone: 718-816-6608
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for ANTHONY T COSTANZO · (Male)

NPI # 1447546734
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 06/24/2011
Last updated 06/24/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 005105-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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