Provider Demographics
NPI:1053488528
Name:COSTANTINO FINIASZ, ALEJANDRA GABRIELA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRA
Middle Name:GABRIELA
Last Name:COSTANTINO FINIASZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ALEJANDRA
Other - Middle Name:GABRIELA
Other - Last Name:COSTANTINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1081 HOPE ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907-1824
Mailing Address - Country:US
Mailing Address - Phone:203-329-8444
Mailing Address - Fax:203-329-1256
Practice Address - Street 1:1081 HOPE ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06907-1824
Practice Address - Country:US
Practice Address - Phone:203-329-8444
Practice Address - Fax:203-329-1256
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0076931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice