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

MS. Tamara Costanzo

Individual provider Specialist · NPI 1316521172

MS. Tamara Costanzo is a Specialist in Medford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

46 Meyer Ln
Medford, NY 11763-4117
Phone: (631) 289-3881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1301914191 (NY)

Record details

NPI number1316521172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 7, 2021
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021
Mailing address46 Meyer Ln, Medford, NY 11763-4117

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