Individual
DR. CONSTANTINE B VARDOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
141 DOGWOOD LN, NEWBURGH, NY 12550-2027
(845) 565-2153
(845) 565-6688
Mailing address
141 DOGWOOD LN, NEWBURGH, NY 12550-2027
(845) 565-2153
(845) 565-6688
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
096243
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
537288
—
NY
Enumeration date
11/16/2006
Last updated
10/03/2013
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