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Individual

CONSTANCE PASTERNAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
244672
NC
163W00000X
Registered Nurse
478896-1
NY
363LA2200X
Adult Health Nurse Practitioner
303539
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
5005141
NC
363LG0600X
Gerontology Nurse Practitioner
340560
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02353657
NY
Enumeration date
01/03/2007
Last updated
06/16/2011
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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