Provider Demographics
NPI:1245306679
Name:COSTANTINI, CHRISTOPHER JAMES (CPED)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:COSTANTINI
Suffix:
Gender:M
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 18731
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-0731
Mailing Address - Country:US
Mailing Address - Phone:585-224-8581
Mailing Address - Fax:
Practice Address - Street 1:3385 BRIGHTON HENRIETTA TOWN LINE RD
Practice Address - Street 2:THE FOOT PERFORMANCE CENTER
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2813
Practice Address - Country:US
Practice Address - Phone:585-473-5950
Practice Address - Fax:585-473-9596
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist