Archimandritis, Constantine

Archimandritis, Constantine is an individual health care provider with primary practice located at 2601 Ocean Pkwy , Brooklyn NY 11235-7745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Archimandritis, Constantine can be contacted via phone (718) 616-4408.

Contact Information

Primary practice address
2601 Ocean Pkwy Brooklyn NY 11235-7745
Phone: (718) 616-4408
Fax: (718) 616-4105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 163511-1 New York

Profile Details

NPI number 1053332288
LBN Legal business name Archimandritis, Constantine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053332288 NPPES
New York MEDICAID 01013625

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