Individual
MICHAEL KONSTANTINOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
115 ERIKA LOOP, STATEN ISLAND, NY 10312-6660
(917) 575-7815
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01331800
NJ
367500000X
Certified Registered Nurse Anesthetist
686170
NY
Other
Enumeration date
03/19/2022
Last updated
10/03/2023
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