Individual
DR. EDUARDO CONSTANTINO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NESCONSET HWY, BLDG 2, SUITE 9, STONY BROOK, NY 11790-2555
(631) 444-2571
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2571
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
185901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01545115
—
NY
Enumeration date
06/13/2006
Last updated
07/08/2007
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