Basic Information
Provider Information
NPI: 1174786750
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CONSTANTINE
FirstName: SABINA
MiddleName: MARIA
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 222 STATION PLZ N
Address2: SUITE 310
City: MINEOLA
State: NY
PostalCode: 115013800
CountryCode: US
TelephoneNumber: 5166633822
FaxNumber: 5166638273
Practice Location
Address1: 259 1ST ST
Address2:  
City: MINEOLA
State: NY
PostalCode: 115013957
CountryCode: US
TelephoneNumber: 5166638963
FaxNumber: 5166638964
Other Information
ProviderEnumerationDate: 07/03/2008
LastUpdateDate: 09/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X261417NYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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