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

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

Practice location Address checks out

5235 Potenza Dr
Clay, NY 13041-8813
Phone: (315) 699-6998
Show map & directions

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

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