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Individual
MR. PETER DAVID COSTANTINO
Active
Individual
MR. PETER DAVID COSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
204458-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01704250
—
NY
01
—
0596816
AETNA MANAGED CARE
NY
01
—
17K791
EMPIRE BLUE CROSS
NY
01
—
4C4124
HEALTHNET ID#
NY
01
—
5858397
AETNA PPO/POS
NY
01
—
P467763
OXFORD ID#
NY
Enumeration date
08/11/2006
Last updated
07/22/2021
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