Free National NPI Number Registry
Jorge Lucas P Constantino
Home > Jorge Lucas P Constantino
NPI Number Detailed Information
Provider Information:
| Name: | Jorge Lucas P Constantino |
| Gender: | M |
| Provider License Number If Given: | 176852 |
NPI Information:
| NPI: | 1598759011 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 1/30/2015 |
Provider Business Mailing Address:
| Address: | 7 SOUTHWOODS BLVD Albany, NY 12211 |
| Phone Number: | 5182926000 |
| Fax Number: | 5182926050 |
Provider Business Practice Location Address:
| Address: | 2231 BURDETT AVE STE 160 Troy, NY 12180 |
| Phone Number: | 5182926200 |
| Fax Number: | 5182926228 |
Provider Taxonomy:
| Primary: | 207RC0000X |
| Secondary (if any): | |
| State: | NY |
