Individual
DR. CONSTANTINE JOHN NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1022 THROGGMORTON AVE, BRONX, NY 10465-1523
(718) 823-9079
Mailing address
1022 THROGGMORTON AVE, BRONX, NY 10465-1523
(718) 823-9079
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007978-1
NY
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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