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Individual

JOHN CONSTANTINIDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
160 MIDDLE RD STE 4, SAYVILLE, NY 11782-3126
(631) 589-5554
Mailing address
1 KENNEDY DR, PLAINVIEW, NY 11803-4017
(516) 382-4951

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063876
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/09/2022
Last updated
02/12/2025
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