Most Relevant Information
Provider Data
| NPI Number: | 1003437534 |
| Provider Name: | CONSTANTINE TARABANIS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2020 |
| Last Updated: | 07/08/2024 |
Provider Practice Location
75 FRANCIS ST
BOSTON
MA
021156106
Practice Location Phone/Fax
| Phone: | 6177325500 |
| Fax: |
Provider Mailing Location
550 1ST AVE
NEW YORK
NY
100166402
Provider Mailing Phone/Fax
| Phone: | 2122635503 |
| Fax: |