Organization
INDEPENDENT SURGICAL SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER COSTANTINO MD (OWNER)
(718) 687-9882
Entity
Organization
Contact information
Practice address
4 WESTCHESTER PARK DR FL 4, WHITE PLAINS, NY 10604-3434
(914) 517-7978
Mailing address
4 WESTCHESTER PARK DR FL 4, WHITE PLAINS, NY 10604-3434
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
01/16/2026
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