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:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730122292 | NPPES |
| New York | MEDICAID | 01545115 |
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