Organization
TINA DISCEPOLA MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANTINA DISCEPOLA M.D. (PRESIDENT/OWNER)
(914) 909-2546
Entity
Organization
Contact information
Practice address
1034 N BROADWAY, FAMILY MEDICINE OF WESTCHESTER, YONKERS, NY 10701-1328
(914) 909-2546
(914) 909-2546
Mailing address
1193 DOBBS FERRY RD, WHITE PLAINS, NY 10607-2605
(914) 909-2546
(914) 909-2546
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
192494
NY
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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