Constantine Diakolios
Internist - Addiction Medicine
1776 Clay Ave
Bronx
, New York 10457-7239
Constantine Diakolios
Internist - Addiction Medicine
1776 Clay Ave
Bronx
, New York 10457-7239
(201) 363-9352
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Constantine Diakolios
- 404 Dogwood Ct
- Leonia, NJ
- Zip : 07605-1412
- Fax : (201) 363-9352
- Phone : (201) 363-9354
Second Address
- Constantine Diakolios
- 1776 Clay Ave
- Bronx, NY
- Zip : 10457-7239
- Phone : (718) 299-1100
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Is Constantine Diakolios a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 199836-1 | NJ |
National Provider Identifier
| NPI | 1366584724 |
|---|---|
| Provider Name | Constantine Diakolios |
| First Address | Leonia, NJ 07605-1412 |
| Second Address | Bronx, NY 10457-7239 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G39669 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.