Constantino, Mary

Constantino, Mary is an individual health care provider with primary practice located at 99 E State St , Gloversville NY 12078-1203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Constantino, Mary can be contacted via phone (518) 773-5780.

Contact Information

Primary practice address
99 E State St Gloversville NY 12078-1203
Phone: (518) 773-5780
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F335787 New York

Profile Details

NPI number 1710116488
LBN Legal business name Constantino, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Jul 2nd, 2009 - about 15 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 1710116488 NPPES
New York MEDICAID PENDING

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