Individual
MR. CONSTANTINE VERGIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
11402 15TH AVE, COLLEGE POINT, NY 11356-1452
(718) 961-1634
Mailing address
3039 41ST ST, ASTORIA, NY 11103-3415
(646) 592-0439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053888
NY
Other
Enumeration date
03/04/2010
Last updated
07/22/2022
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