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Individual

DR. CONSTANTINE IOANNOU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER, EAST MEADOW, NY 11554-1859
(516) 572-6511
Mailing address
70 GLEN ST, SUITE 260, GLEN COVE, NY 11542-2855
(516) 656-4565

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
180863
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01845358
NY
Enumeration date
09/16/2006
Last updated
05/28/2014
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