KEVIN COSTANZO (NPI# 1780207530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | NY | Dietary & Nutritional Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3670 S Benzing Rd, Orchard Park, NY 141271737 | 7165977559 |
Street Address |
34 BENWOOD AVE |
City | BUFFALO |
State | NY |
Zip Code | 14214-1761 |
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 |
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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 |
Find all providers in zip 14214 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
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. |
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 |
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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.