Individual
DR. JOHN JOSEPH COSTANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
17411 HORACE HARDING EXPY, FRESH MEADOWS, NY 11365-1527
(718) 670-1060
Mailing address
17411 HORACE HARDING EXPY, FRESH MEADOWS, NY 11365-1527
(718) 670-1060
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
059745
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS103736
CA
Other
Enumeration date
02/27/2012
Last updated
07/26/2019
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