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Individual

CONSTANTIN C ANAGNOSTOPOULOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3014 31ST AVE, UNIT LL, ASTORIA, NY 11106-2405
(718) 545-4080
Mailing address
33 PEPPERMILL RD, ROSLYN, NY 11576-3105
(718) 545-4080

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
121324
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00227394
NY
Enumeration date
10/03/2006
Last updated
04/30/2014
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