DR. GEORGE J COSTANZO (NPI# 1467401802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467401802 |
| Entity Type | Individual |
| Full Name | DR. GEORGE J COSTANZO |
| Credential | D.C. |
| Practice Address |
340 N Main St Southington CT 06489-2529 |
| Practice Telephone | 8606210131 |
| Practice Fax Number | 8606211533 |
| Mailing Telephone | 8606210131 |
| Mailing Fax Number | 8606211533 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
8461 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427030634 | George P. Costanzo | Surgery | 347th Medical Group, 3278 Mitchell Blvd, Moody A F B, GA 31699-0001 | 2005-11-15 |
| Street Address |
340 N MAIN ST |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396142204 | Pion Chiropractic LLC | Chiropractor | 340 N Main St, Southington, CT 06489-2529 | 2014-11-21 |
| 1629356431 | Ct Rehabilitation & Spasticity Care, LLC | Clinic/Center | 340 N Main St, Southington, CT 06489-2529 | 2011-07-27 |
| 1760671465 | Costanzo Chiropractic | Chiropractor | 340 N Main St, Southington, CT 06489-2529 | 2007-10-18 |
| 1710107230 | Carol L Rizzolo | Physician Assistant | 340 N Main St, Southington, CT 06489-2529 | 2007-04-26 |
| 1053535245 | Rebecca Davies Jeffery | Physician Assistant | 340 N Main St, Southington, CT 06489-2529 | 2007-04-12 |
| 1336362755 | Personal Care Peds LLC | Pediatrics | 340 N Main St, Southington, CT 06489-2529 | 2007-04-11 |
| 1851460794 | Elliott Ralph Colasanto | Pharmacist | 340 N Main St, Southington, CT 06489-2529 | 2006-11-07 |
| 1588699235 | Arthur Blumer | Pediatrics | 340 N Main St, Southington, CT 06489-2529 | 2006-07-11 |
| 1457332181 | Matthew Patrick Raymond | Physical Medicine & Rehabilitation | 340 N Main St, Southington, CT 06489-2529 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
| 1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| 1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
| 1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
| 1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| Find all providers in zip 06489 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
| 1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
| 1518565399 | Gina Kolstad | Nurse Practitioner | 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 | 2020-10-13 |
| 1043818966 | Shakeria C Brown | Nurse Practitioner | 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 | 2020-10-13 |
| 1154937910 | Gregory Guion | Nurse Practitioner | 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 | 2020-09-17 |
| 1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
| 1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
| 1174131205 | Kimberly Levitt | Nurse Practitioner | 466 Ridgebury Rd, Ridgefield, CT 06877-1228 | 2020-07-15 |
| 1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
| 1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHINGTON |
| Zip Code | 06489 |
Please comment or provide details below to improve the information on DR. GEORGE J COSTANZO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.