Individual
DR. CONSTANTINE STAVRINOUDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 NORTHERN BLVD STE 207, MANHASSET, NY 11030-3500
(516) 482-5416
Mailing address
2110 NORTHERN BLVD STE 207, MANHASSET, NY 11030-3500
(516) 482-5416
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
057889
NY
1223P0700X
Prosthodontics
Primary
057889
NY
Other
Enumeration date
09/05/2014
Last updated
02/14/2022
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