Individual
KONSTANTOINOS PETINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15849 84TH ST, HOWARD BEACH, NY 11414-3020
(718) 322-7425
(718) 322-5541
Mailing address
158 49 84TH STREET, HOWARD BEACH, NY 11414
(718) 322-7425
(718) 322-5541
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
171264 1
NY
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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