Provider Demographics
NPI:1336309822
Name:KONSTANTINO, YUVAL (MD)
Entity Type:Individual
Prefix:DR
First Name:YUVAL
Middle Name:
Last Name:KONSTANTINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MODIN STREET # 17
Mailing Address - Street 2:
Mailing Address - City:NEVE NEMAN
Mailing Address - State:HOD HASHARON
Mailing Address - Zip Code:45246
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:185 PILGRIM ROAD BAKER 4
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-632-7828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program