DR. MARK --- COSTANZA (NPI# 1629154091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629154091 |
| Entity Type | Individual |
| Full Name | DR. MARK --- COSTANZA |
| Practice Address |
1900 Ridge Rd Healthworks-wny, LLP West Seneca NY 14224-3332 |
| Practice Telephone | 7167120670 |
| Practice Fax Number | 7167120674 |
| Mailing Telephone | 7167120670 |
| Mailing Fax Number | 7167120674 |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
168031 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1900 RIDGE RD HEALTHWORKS-WNY, LLP |
| City | WEST SENECA |
| State | NY |
| Zip Code | 14224-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760944 | Ramesh H Shastri | Ophthalmology | 1900 Ridge Rd, West Seneca, NY 14224-3332 | 2005-06-14 |
| 1396287124 | Buffalo Wheelchair Inc | Durable Medical Equipment & Medical Supplies | 1900 Ridge Rd, Suite 103, West Seneca, NY 14224-3332 | 2016-11-10 |
| 1639581788 | Mary Elizabeth Hajduk | Homeopath | 1900 Ridge Rd, West Seneca, NY 14224-3332 | 2014-05-23 |
| 1306199815 | Kristy Lynne Mcdonald | Massage Therapist | 1900 Ridge Rd, Ste 127, West Seneca, NY 14224-3332 | 2012-10-22 |
| 1952538407 | Universal Chiropractic,pc | Chiropractor | 1900 Ridge Rd, Seneca Square, West Seneca, NY 14224-3332 | 2009-06-11 |
| 1598908881 | Quality of Life Home Healthcare | Home Health | 1900 Ridge Rd, Suite 232, West Seneca, NY 14224-3332 | 2009-04-15 |
| 1366603300 | Seneca Optical Inc. | Optometrist | 1900 Ridge Rd, Suite 101, West Seneca, NY 14224-3332 | 2008-06-23 |
| 1699962100 | Nancy Forrest Wilson | Nurse Practitioner | 1900 Ridge Rd, West Seneca, NY 14224-3332 | 2007-09-28 |
| 1427268044 | Marshall Eugene Dornink | Chiropractor | 1900 Ridge Rd, Suite 127, West Seneca, NY 14224-3332 | 2007-05-23 |
| 1508081613 | Mary Eder | Physician Assistant | 1900 Ridge Rd, West Seneca, NY 14224-3332 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
| 1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
| 1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
| 1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
| 1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
| 1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
| Find all providers in zip 14224 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548557366 | Steven A. Osadca | Preventive Medicine | 3121 Clinton St, Suite #6, West Seneca, NY 14224-1375 | 2011-06-30 |
| 1790057768 | Michael Aaron Rosenberg | Preventive Medicine | 3121 Clinton St, Suite 6, West Seneca, NY 14224-1375 | 2012-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861969057 | Shaneabbas Hasnain Dharsi | Preventive Medicine | Jfk International Airport Building 14, Citimedical-medport, Jamaica, NY 11430 | 2018-10-26 |
| 1740775840 | Harry A Levy | Preventive Medicine | 27 W 96th St Apt 10d, New York, NY 10025-6525 | 2018-06-30 |
| 1073879953 | John F. Masloski | Preventive Medicine | 2134 Quaker Ridge Rd, Croton-on-hudson, NY 10520 | 2012-04-05 |
| 1356624266 | Arnold Kaminer | Preventive Medicine | 100 Ralph Ave, White Plains, NY 10606-3609 | 2011-09-27 |
| 1821393620 | Carol Denise Davis | Preventive Medicine | 30 Bell Avenue, Bldge 490 Omc Brookhaven National Laboratory, Upton, NY 11973 | 2011-01-26 |
| 1275864159 | Su Chong Choe-baek | Preventive Medicine | 3330 61st St, #402, Woodside, NY 11377-2234 | 2010-01-17 |
| 1831322577 | Peter Dmytri Olenen | Preventive Medicine | 486 S Plank Rd, Westtown, NY 10998-2807 | 2009-08-28 |
| 1326288101 | Michael A Wolfson | Preventive Medicine | 627 Bradford Pkwy, Syracuse, NY 13224-2001 | 2009-03-06 |
| 1114186475 | Elena Dolginova | Preventive Medicine | 10b Madison Ave, Albany, NY 12203 | 2008-06-03 |
| 1437321569 | Cristina Andusa Demian-popescu | Preventive Medicine | 400 White Spruce Blvd., Suite B, Rochester, NY 14623 | 2008-03-28 |
| Find all providers with the same taxonomy | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
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| 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.