Individual
DR. CONSTANTINE A HALIASOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
146 TRINITY PL, WEST HEMPSTEAD, NY 11552-1626
(516) 483-9688
Mailing address
146 TRINITY PL, WEST HEMPSTEAD, NY 11552-1626
(516) 483-9688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
129902
NY
Other
Enumeration date
06/21/2005
Last updated
02/11/2008
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