Individual
MRS. ATHENA KONSTANTINAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
668 SUNRISE HWY, BALDWIN, NY 11510-3136
(516) 867-6260
Mailing address
94 FRANKEL RD, MASSAPEQUA, NY 11758-7261
(516) 867-6260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045509
NY
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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