| Doctor Name: | DR. CONSTANTINA DISCEPOLA |
| NPI Number: | 1992917959 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 192494 |
| Business Practice Address: | 970 N Broadway Suite 309 Yonkers, NY - 107011309 |
| Business Phone Number: | 9149092546 |
| Business Fax Number: | 9149092546 |
| Mailing Address: | 970 N Broadway, Suite 309 YONKERS |
| State: | NY |
| Postal Code: | 107011309 |
| Phone Number: | 9149092546 |
| Fax Number: | 9149092546 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 06/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 192494 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |