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

Katherine Costanzo, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063153716

Katherine Costanzo, PA is a Student in an Organized Health Care Education/Training Program in Hartford, Connecticut. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

282 Washington St
Hartford, CT 06106-3322
Phone: (860) 545-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063153716
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

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