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CONSTANTINE YIACHOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
129 SLOSSON AVE, STATEN ISLAND, NY 10314-2522
(718) 720-5928
(718) 720-6706
Mailing address
129 SLOSSON AVE, STATEN ISLAND, NY 10314-2522
(718) 720-5928
(718) 720-6706

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
172409
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0076533
GHI
01
100013461
MEDICARE RAILROAD
01
100109150502
AMERICHOICE
01
169907
ELDERPLAN
01
172409
HIP
01
2C3244
HEALTHNET
01
7838085
AETNA
01
78984
GHI HMO
01
CY2409
ATLANTIS
01
CYO29F1510
EMPIRE BLUE CROSS BLUE SHIELD
01
OS121
OXFORD
Enumeration date
11/28/2006
Last updated
11/16/2023
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