Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candice Costanzo

Individual provider Specialist · NPI 1477955268

Candice Costanzo is a Specialist in Clay, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

5235 Potenza Dr
Clay, NY 13041-8813
Phone: (315) 699-6998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 625539951 (NY)
Specialist Taxonomy 174400000X · Licence 625537951 (NY)
Specialist Taxonomy 174400000X · Licence 625538951 (NY)

Record details

NPI number1477955268
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 23, 2014
Last updated in NPPESSeptember 23, 2014
Mailing address5235 Potenza Dr, Clay, NY 13041-8813

Other providers in Clay