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Individual

DR. ROBERT M CONSTANTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
301 PROSPECT AVENUE, SYRACUSE, NY 13203
(315) 448-5440
(315) 472-5010
Mailing address
301 PROSPECT AVENUE, SYRACUSE, NY 13203
(315) 448-5440
(315) 472-5010

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
1431921
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00482031
NY
05
01034688
NY
Enumeration date
04/06/2006
Last updated
06/29/2009
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