| Mrs Shannon Tracy Constantine, | |
|
23 Eastport Manor Rd, Eastport, NY 11941-1410 | |
| (631) 325-0665 | |
| Not Available |
| Full Name | Mrs Shannon Tracy Constantine |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 23 Eastport Manor Rd, Eastport, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104008135 | NPI | - | NPPES |
| 045698 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 045698 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shannon Tracy Constantine, 4 Riviera Ct, Wading River, NY 11792-2338 Ph: (631) 929-0010 | Mrs Shannon Tracy Constantine, 23 Eastport Manor Rd, Eastport, NY 11941-1410 Ph: (631) 325-0665 |
Dr. Bret Kearns, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 23 Eastport Manor Rd, Eastport, NY 11941 Phone: 631-325-0643 | |
Courtney Michele Van Nostrand, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 23 Eastport Manor Rd, Eastport, NY 11941 Phone: 631-325-0643 Fax: 631-325-8246 | |
Mr. Joel B Selitsky, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 23 Eastport Manor Rd, Eastport, NY 11941 Phone: 631-325-0643 | |
Andrzej Przemystaw Gozdziak, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 23 Eastport Manor Rd, Eastport, NY 11941 Phone: 631-325-0643 |