Individual
DR. CONSTANTINE T. ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9836 QUEENS BLVD STE 401, REGO PARK, NY 11374-4257
(800) 991-6117
(888) 812-8191
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(800) 991-6117
(888) 812-8191
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
036177654
IL
202K00000X
Phlebology Physician
340071
NY
208600000X
Surgery Physician
25MA05096600
NJ
2086S0129X
Vascular Surgery Physician
036177654
IL
2086S0129X
Vascular Surgery Physician
25MA05096600
NJ
2086S0129X
Vascular Surgery Physician
Primary
340071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08425972
—
NY
05
—
5130000
—
NJ
Enumeration date
05/08/2006
Last updated
06/24/2026
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