CONSTANTINE DIAKOLIOS (NPI# 1366584724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366584724 |
| Entity Type | Individual |
| Full Name | CONSTANTINE DIAKOLIOS |
| Credential | MD |
| Practice Address |
1776 Clay Ave Bronx NY 10457-7239 |
| Mailing Address |
404 Dogwood Ct Leonia NJ 07605-1412 |
| Practice Telephone | 7182991100 |
| Mailing Telephone | 2013639354 |
| Mailing Fax Number | 2013639352 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
199836-1 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1776 CLAY AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10457-7239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000353 | David C Collymore | Pediatrics | 1776 Clay Ave, Bronx, NY 10457-7239 | 2005-08-23 |
| 1700358728 | Giitou Neor | Social Worker | 1776 Clay Ave, Bronx, NY 10457-7239 | 2019-01-02 |
| 1194224212 | Laura Zehnder-shamciyan | Social Worker | 1776 Clay Ave, Bronx, NY 10457-7239 | 2018-02-04 |
| 1891226692 | Francisca Duarte | Social Worker | 1776 Clay Ave, Bronx, NY 10457-7239 | 2017-03-23 |
| 1609307453 | James Dike | Social Worker | 1776 Clay Ave, Bronx, NY 10457-7239 | 2017-03-23 |
| 1912453929 | Adrienne Christina Cagler | Counselor | 1776 Clay Ave, Bronx, NY 10457-7239 | 2016-08-30 |
| 1073974143 | Takiysha Mcleod | Nurse Practitioner | 1776 Clay Ave, Bronx, NY 10457-7239 | 2016-03-16 |
| 1114398971 | Ashley St. Ford | Counselor | 1776 Clay Ave, Bronx, NY 10457-7239 | 2015-10-19 |
| 1649641408 | Sylwia Wielgosz | Counselor | 1776 Clay Ave, Bronx, NY 10457-7239 | 2015-10-19 |
| 1700257557 | Michael Ford | Counselor | 1776 Clay Ave, Bronx, NY 10457-7239 | 2015-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
| Find all providers in zip 10457 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437378502 | Ronald Rahman | Internal Medicine | 3251 Westchester Ave, Bronx, NY 10461-4509 | 2007-04-25 |
| 1366527368 | Alain H Litwin | Internal Medicine | Mmc - Dept. of Medicine, 111 East 210th Street, Bronx, NY 10467 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272510 | Richter Medical PC | Internal Medicine | 1 Appaloosa Ln, Millbrook, NY 12545-6051 | 2020-10-13 |
| 1205493533 | Bct Medical Services PC | Internal Medicine | 230 Hilton Ave Ste 106, Hempstead, NY 11550-8116 | 2019-05-22 |
| 1568965309 | Lloyd E. Zimmerman | Internal Medicine | 205 E 95th St Apt 18b, New York, NY 10128-0237 | 2018-03-16 |
| 1962893560 | Maple Med Group LLC | Internal Medicine | 2000 Maple Hill St Ste 101, Yorktown Heights, NY 10598-4122 | 2015-02-18 |
| 1467897058 | Komal Amin | Internal Medicine | 25 Fairfield Way Apt 1, Commack, NY 11725-3414 | 2013-05-08 |
| 1407191364 | East End Physician Services PC | Internal Medicine | 44210 County Rd. 48, Southold, NY 11971 | 2012-12-04 |
| 1982976999 | Express Medical Care, P.c | Internal Medicine | .357 Broadway, Suite 2c, Amityville, NY 11701 | 2012-02-07 |
| 1952610701 | Annemarie Bonawitz-dodi | Internal Medicine | 942 Route 376 Ste 201, Wappingers Falls, NY 12590-6493 | 2010-09-28 |
| 1558561985 | Jack Resnik | Internal Medicine | 480 Genesee Street, Rochester, NY 14611 | 2007-07-24 |
| 1114132701 | Joshua David Lee | Internal Medicine | 423 E.23rd St., Vamc 15th Floor 15156n, New York, NY 10010 | 2007-05-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.