Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N005258 | NY |
N | 222Z00000X | Podiatrist | N005258 | NY |
N | 213EP0504X | Public Medicine | N005258 | NY |
N | 213EP1101X | Primary Podiatric Medicine | N005258 | NY |
N | 111NR0200X | Radiology | N005258 | NY |
N | 213ER0200X | Radiology | N005258 | NY |
N | 2081S0010X | Sports Medicine | N005258 | NY |
N | 213ES0000X | Sports Medicine | N005258 | NY |
N | 213ES0103X | Foot & Ankle Surgery | N005258 | NY |
NPI | 1154468122 |
---|---|
Provider Name | Dr. Eileen Schnaue-Constantouris |
First Address | Commack, NY 11725-3452 |
Second Address | Commack, NY 11725-3452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U70219 | (02) | NY |