Daniela Costanzo, LAT, ATC
Specialist/Technologist, Athletic Trainer in West Orange, New Jersey
1972256931- Practice location
- 622 Eagle Rock Ave, West Orange, NJ 07052-2994
- Phone
- 973-380-0922
- Fax
- —
- Last updated
- January 31, 2022
Daniela Costanzo is a Specialist/Technologist, Athletic Trainer based in West Orange, NJ. Daniela Costanzo practices in West Orange, NJ and has the professional credentials of LAT, ATC. The NPI Number for Daniela Costanzo is 1972256931 and holds a License No. 25MT00282700 (NJ). The current practice location address for Daniela Costanzo is 622 Eagle Rock Ave, West Orange, NJ 07052-2994 and can be reached out via phone at 973-380-0922.
Provider Profile Details
- NPI Number
- 1972256931
- Provider Name
- Daniela Costanzo
- Credential
- LAT, ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 622 Eagle Rock Ave, West Orange, NJ 07052-2994
- Phone Number
- 973-380-0922
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 31, 2022
- Last Update Date
- January 31, 2022
- Certification Date
- January 24, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 622 Eagle Rock Ave
West Orange, NJ 07052-2994 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-2994
- Phone Number
- 973-380-0922
Provider Business Mailing Address Details
- Address
- 125 Gates Ave Apt 35
Montclair, NJ 07042-2536 - City
- Montclair
- State
- NJ
- Zip
- 07042-2536
License Information
- License Number
- 25MT00282700
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near West Orange, NJ
View all Specialist/Technologist, Athletic Trainers in West Orange →Frequently Asked Questions
What is the NPI number of Daniela Costanzo, LAT, ATC?
The NPI number of Daniela Costanzo, LAT, ATC is 1972256931. It was assigned on January 31, 2022 and is currently active in the NPPES registry.
What is the specialty of Daniela Costanzo, LAT, ATC?
Daniela Costanzo, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00282700.
Where does Daniela Costanzo, LAT, ATC practice?
The practice location is 622 Eagle Rock Ave, West Orange, NJ 07052-2994. The office can be reached at 973-380-0922 (phone).
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 1972256931 directly on the NPPES registry website.