Individual
DR. CONSTANTINOS CONSTANTATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 LITTLE EAST NECK RD, SUITE 1, WEST BABYLON, NY 11704-7742
(631) 321-4147
Mailing address
170 LITTLE EAST NECK RD, SUITE 1, WEST BABYLON, NY 11704-7742
(631) 321-4147
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
221733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02172241
—
NY
Enumeration date
04/18/2006
Last updated
02/22/2024
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