| Richard M Costantini, D.d.s., P.c. | |
|
1050 Abbott Rd Buffalo NY 14220-2400 | |
| (716) 822-6055 | |
| (716) 822-0592 |
| Full Name | Richard M Costantini, D.d.s., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1050 Abbott Rd, Buffalo, New York |
| Authorized Official Name and Position | Richard Mario Costantini (DENTIST/OWNER) |
| Authorized Official Contact | 7168226055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard M Costantini, D.d.s., P.c. 1050 Abbott Rd Buffalo NY 14220-2400 Ph: (716) 822-6055 | Richard M Costantini, D.d.s., P.c. 1050 Abbott Rd Buffalo NY 14220-2400 Ph: (716) 822-6055 |
| NPI Number | 1538344197 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 01/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538344197 | NPI | - | NPPES |
| 00676013 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 026346 (New York) | Primary |
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