Constantino, Jorge Lucas P

Constantino, Jorge Lucas P is an individual health care provider with primary practice located at 2231 Burdett Ave Ste 160, Troy NY 12180-2447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Constantino, Jorge Lucas P can be contacted via phone (518) 292-6200.

Contact Information

Primary practice address
2231 Burdett Ave Ste 160 Troy NY 12180-2447
Phone: (518) 292-6200
Fax: (518) 292-6228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 176852 New York

Profile Details

NPI number 1598759011
LBN Legal business name Constantino, Jorge Lucas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jan 30th, 2015 - about 10 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 1598759011 NPPES
Massachusetts MEDICAID 2011794
Massachusetts MEDICAID 01132723
Massachusetts Other 060067417
Massachusetts MEDICAID 1007540

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