KEVIN COSTANZO


Address: 34 Benwood Ave, Buffalo, NY 14214-1761
Phone: 7169899199

KEVIN COSTANZO (NPI# 1780207530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780207530
Entity Type Individual
Full Name KEVIN COSTANZO
Credential RD
Practice Address 34 Benwood Ave
Buffalo
NY 14214-1761
Mailing Address 62 Peppertree Dr
Buffalo
NY 14228-2901
Practice Telephone 7169899199
Mailing Telephone 7165977559
Enumeration Date 2020-05-27
Last Update Date 2020-05-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered NY Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3670 S Benzing Rd, Orchard Park, NY 141271737 7165977559

Office Location

Street Address 34 BENWOOD AVE
City BUFFALO
State NY
Zip Code 14214-1761

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790787919 Community Health Center of Buffalo, Inc. Clinic/Center 34 Benwood Ave, Buffalo, NY 14214-1761 2005-06-01
1760097802 Sarah Welch Miller Nurse Practitioner 34 Benwood Ave, Buffalo, NY 14214-1761 2020-09-15
1962015719 Michelle Renee Smith Nurse Practitioner 34 Benwood Ave, Buffalo, NY 14214-1761 2020-08-30
1053930834 Bharat Kohli Family Medicine 34 Benwood Ave, Buffalo, NY 14214-1761 2020-04-13
1932753217 Mary Louise Walker Social Worker 34 Benwood Ave, Buffalo, NY 14214 2019-07-25
1881193613 Sejal Dhavalkumar Shah Pharmacist 34 Benwood Ave, Buffalo, NY 14214-1761 2018-02-07
1225577455 Darlene Volmy Physical Medicine & Rehabilitation 34 Benwood Ave, Buffalo, NY 14214 2017-02-21
1053850438 Zachary Juliano Physician Assistant 34 Benwood Ave, Buffalo, NY 14214-1761 2017-02-17
1093121220 Shahla Ahmad Family Medicine 34 Benwood Ave, Buffalo, NY 14214-1761 2014-07-09
1568721819 Furqan Ahmed Registered Nurse 34 Benwood Ave, Buffalo, NY 14214-1761 2012-05-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346862935 Hafiz Muhammad Fazeel Student in an Organized Health Care Education/Training Program 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 2020-05-18
1962031542 Sana Annan Anesthesiology 195 Holden St, Buffalo, NY 14214 2020-04-06
1508404401 Gabrielle Korman Counselor 70 Jewett Parkway, Buffalo, NY 14214 2019-12-11
1215581541 Ahmed Nagy Abdelrahman Speech-Language Pathologist 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 2019-07-25
1316590086 Megan Elizabeth Quinn Social Worker 34 Benwood Ave., Buffalo, NY 14214 2019-07-22
1235690553 Iqra Qamar Student in an Organized Health Care Education/Training Program 2157 Main St. Sisters Hospital, Department of Medicine, 5th Floor, Buffalo, NY 14214 2019-03-28
1477034676 April Forsaith Villacrusis Specialist/Technologist 18 Agassiz Circle, Attn: Athletics Dept., Buffalo, NY 14214 2018-08-24
1437656675 Anum Nida Student in an Organized Health Care Education/Training Program Sisters of Charity Hospital, 2157 Main St 2nd Floor, Buffalo, NY 14214 2018-04-12
1710480173 Wny Podiatric Associates Pllc Podiatrist 2121 Main St Ste 214, Buffalo, NY 14214 2018-03-13
1043738446 Alexander Paul Peters Physical Therapist 53 Robie St, Apt 3, Buffalo, NY 14214 2017-09-06
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063023505 Rachel Laster Dietitian, Registered 33 Manhart St, Buffalo, NY 14215-3224 2020-08-10
1720639792 Clara Isabelle Nosek Dietitian, Registered 960 Busti Ave Apt 405, Buffalo, NY 14213-2100 2019-09-21
1326696352 Lai Yeng Chung Dietitian, Registered 742 Delaware Ave, Buffalo, NY 14209-2202 2019-09-03
1891254462 Kaitlyn E Summers Dietitian, Registered 116 Plymouth Ave # 2, Buffalo, NY 14201-1212 2019-03-13
1215495494 Tina Colaizzo-anas Dietitian, Registered 214 Caudell Hall, 1300 Elmwood Avenue, Buffalo, NY 14222 2019-03-07
1114400702 Kim Bloomer Dietitian, Registered 40 La Riviere Dr, Buffalo, NY 14202-4344 2018-09-11
1942797071 Kathleen A Adam Dietitian, Registered 728 Mckinley Pkwy, Buffalo, NY 14220-1524 2018-04-14
1689177792 Diana Korzhukova Dietitian, Registered 572 Potomac Ave Apt 4, Buffalo, NY 14222-1153 2018-03-14
1932620960 Katy A Graf Dietitian, Registered 101 Aurora Dr, Buffalo, NY 14215-2041 2017-06-29
1972041523 Drew Hemler Dietitian, Registered 78 Prospect Ave, Apt 3, Buffalo, NY 14201-2401 2017-02-03
Find all providers in BUFFALO

Competitor

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City BUFFALO
Zip Code 14214

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Dataset Information

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.

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