Constantino, Eduardo

Constantino, Eduardo is an individual health care provider with primary practice located at 2500 Nesconset Hwy Bldg 2, Suite 9, Stony Brook NY 11790-2555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Constantino, Eduardo can be contacted via phone (631) 444-2571.

Contact Information

Primary practice address
2500 Nesconset Hwy Bldg 2, Suite 9 Stony Brook NY 11790-2555
Phone: (631) 444-2571
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 185901 New York

Profile Details

NPI number 1730122292
LBN Legal business name Constantino, Eduardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1730122292 NPPES
New York MEDICAID 01545115

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