Gulmatico, Constantino Valderrama

Gulmatico, Constantino Valderrama is an individual health care provider with primary practice located at 1430 E 29Th St , Brooklyn NY 11210-5317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gulmatico, Constantino Valderrama can be contacted via phone (718) 258-4848.

Contact Information

Primary practice address
1430 E 29Th St Brooklyn NY 11210-5317
Phone: (718) 258-4848
Fax: (718) 258-4851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 149265 New York

Profile Details

NPI number 1225038375
LBN Legal business name Gulmatico, Constantino Valderrama
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
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 1225038375 NPPES
New York MEDICAID 00978890

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