Individual
DR. MIREILLE MOMPOINT CONSTANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3250 SUNRISE HWY, EAST ISLIP, NY 11730-1441
(631) 859-3927
(631) 859-3046
Mailing address
3250 SUNRISE HWY, EAST ISLIP, NY 11730-1441
(631) 859-3927
(631) 859-3046
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
188789
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01414906
—
NY
Enumeration date
10/04/2006
Last updated
07/08/2007
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