Individual
DR. GUS CONSTANTOURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
69 VETERANS MEMORIAL HWY, SUITE #1, COMMACK, NY 11725-3452
(631) 462-2033
Mailing address
69 VETERANS MEMORIAL HWY, SUITE #1, COMMACK, NY 11725-3452
(631) 462-2033
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004543
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N004543
NY
213ER0200X
Radiology Podiatrist
N004543
NY
213ES0000X
Sports Medicine Podiatrist
N004543
NY
213ES0131X
Foot Surgery Podiatrist
N004543
NY
Other
Enumeration date
10/04/2006
Last updated
10/04/2010
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