Individual
MR. EUSEBE CONSTANTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 12 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY 11429-2049
(718) 740-2200
Mailing address
103 12 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-2049
(718) 740-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
143518
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143518
—
NY
Enumeration date
12/14/2006
Last updated
07/08/2007
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