Dr. George J Costanzo, DC
Nurse Practitioner, Psych/Mental Health in Southington, Connecticut
1467401802- Practice location
- 340 N Main St, Southington, CT 06489-2529
- Phone
- 860-621-0131
- Fax
- 860-621-1533
- Last updated
- September 6, 2019
George J Costanzo is a Nurse Practitioner, Psych/Mental Health based in Southington, CT. George J Costanzo practices in Southington, CT and has the professional credentials of DC. The NPI Number for George J Costanzo is 1467401802 and holds a License No. 8461 (CT). The current practice location address for George J Costanzo is 340 N Main St, Southington, CT 06489-2529 and can be reached out via phone at 860-621-0131 and via fax at 860-621-1533.
Provider Profile Details
- NPI Number
- 1467401802
- Provider Name
- George J Costanzo
- Credential
- DC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 340 N Main St, Southington, CT 06489-2529
- Phone Number
- 860-621-0131
- Fax Number
- 860-621-1533
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 10, 2006
- Last Update Date
- September 6, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 340 N Main St
Southington, CT 06489-2529 - City
- Southington
- State
- Connecticut
- Zip
- 06489-2529
- Phone Number
- 860-621-0131
- Fax Number
- 860-621-1533
Provider Business Mailing Address Details
- Address
- 340 N Main St
Southington, CT 06489-2529 - City
- Southington
- State
- CT
- Zip
- 06489-2529
- Phone Number
- 860-621-0131
- Fax Number
- 860-621-1533
License Information
- License Number
- 8461
- License State
- CT
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. George J Costanzo, DC?
The NPI number of Dr. George J Costanzo, DC is 1467401802. It was assigned on May 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. George J Costanzo, DC?
Dr. George J Costanzo, DC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 8461.
Where does Dr. George J Costanzo, DC practice?
The practice location is 340 N Main St, Southington, CT 06489-2529. The office can be reached at 860-621-0131 (phone) or 860-621-1533 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467401802 directly on the NPPES registry website.