Roberta Dianne Costanzo
Nurse Practitioner, Psych/Mental Health in Melville, NY. Individual provider (NPI-1).
NPI number1447609136
StatusActive
Last updated in NPPESJun 3, 2016
Details
- NPI
- 1447609136
- Entity type
- Individual (NPI-1)
- Name
- Roberta Dianne Costanzo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2016
- Last updated
- Jun 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | F401051-1 | NY | Yes |
Practice location
37 Eastfield LnMelville, NY 11747-1606
Phone 631-848-3050
Mailing address
37 Eastfield LnMelville, NY 11747-1606
Phone 631-848-3050
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All 21 Psychiatric/Mental Health Nurse Practitioner providers in Melville · All 2,420 providers in Melville
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