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Individual

DR. CONSTANTINO VALDERRAMA GULMATICO JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1430 E 29TH ST, BROOKLYN, NY 11210-5317
(718) 258-4848
(718) 258-4851
Mailing address
1430 E 29TH ST, BROOKLYN, NY 11210-5317
(718) 258-4848
(718) 258-4851

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
149265
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00978890
NY
Enumeration date
07/29/2005
Last updated
07/08/2007
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