Individual
DR. KOSTANTINA I PASIAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 ROUTE 22, SPRINGFIELD, NJ 07081-3506
(973) 379-0766
Mailing address
1718 W 5TH ST, APT 2F, BROOKLYN, NY 11223-1472
(718) 627-8110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20 054242
NY
183500000X
Pharmacist
Primary
28R103183200
NJ
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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