Provider Demographics
NPI:1992037329
Name:CONSTABLE, CURT CONROY (RPH)
Entity Type:Individual
Prefix:MR
First Name:CURT
Middle Name:CONROY
Last Name:CONSTABLE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8828 PARSONS BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3842
Mailing Address - Country:US
Mailing Address - Phone:718-297-1345
Mailing Address - Fax:
Practice Address - Street 1:23 BIRCHWOOD LN
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-3124
Practice Address - Country:US
Practice Address - Phone:718-297-1345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038365183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist