Mary Jane Costanza
Individual provider Active NPI School Registered Nurse · Frankfort, NY
NPI 1639445562 · NPPES record last updated Mar 26, 2012
Key facts
- NPI
- 1639445562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 292422-1 (NY)
- Practice address
- 610 Reese Rd
Frankfort, NY 13340-3404 - Phone
- (315) 895-3007
- Fax
- (315) 895-4102
- NPI assigned
- Mar 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292422-1 | NY | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 292422-1 | NY | Yes |
Addresses
Primary practice location
610 Reese Rd
Frankfort, NY 13340-3404
Mailing address
610 Reese Rd
Frankfort, NY 13340-3404
Phone (315) 895-3007
Other providers in Frankfort, NY
- Concetta Maria Carcone
- Dominique Carcone
- Briana Maria Cardoza
- Maryann Case
- Linsey Connarton
- Karlee A Davis
- Aldin Djozo
- Danielle Ducher
- Kristy Leigh Enea
- Catherine Lynne Entwistle
All providers in Frankfort, NY · School Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.