Doctor Name: | DR. MIREILLE MOMPOINT CONSTANT |
NPI Number: | 1316032378 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 188789 |
Business Practice Address: | 3250 Sunrise Hwy East Islip, NY - 117301441 |
Business Phone Number: | 6318593927 |
Business Fax Number: | 6318593046 |
Mailing Address: | 3250 Sunrise Hwy, EAST ISLIP |
State: | NY |
Postal Code: | 117301441 |
Phone Number: | 6318593927 |
Fax Number: | 6318593046 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 188789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |