Individual
CHRISTOS CONSTANTATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
389-391 PENINSULA BLVD STE E, HEMPSTEAD, NY 11550
(516) 280-4100
Mailing address
389 PENINSULA BLVD STE 391E, HEMPSTEAD, NY 11550-4914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058879
NY
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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