Provider Demographics
NPI:1982027314
Name:DAPILMA, CONSTANTINE
Entity Type:Individual
Prefix:
First Name:CONSTANTINE
Middle Name:
Last Name:DAPILMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-2013
Mailing Address - Country:US
Mailing Address - Phone:646-286-2775
Mailing Address - Fax:
Practice Address - Street 1:146 BEACH 59TH ST
Practice Address - Street 2:507
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-1845
Practice Address - Country:US
Practice Address - Phone:347-206-9921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY317570164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse