Constantine A Haliasos, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

129902 Issued in NY

Practice address

146 Trinity PL
West Hempstead, NY 11552-1626

Phone

(516) 483-9688

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1043216559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 TRINITY PL",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521626",
            "telephone_number": "516-483-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 TRINITY PL",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521626",
            "telephone_number": "516-483-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALIASOS",
        "first_name": "CONSTANTINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "129902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Nate Gutwillig
• Stephanie Anne Haas, LMHC
• Rebecca Hagler, OTR/L
• Claudette Hale
• Shaina Halegoua, PT
• Tzippora Halpert, PHARMD
• Tanya Ham, LPN
• Dorota Hanaj
• Emily Sara Hanau, PSYD
• Charlie Kaleel Hanna, DDS

• Internal Medicine Physician in West Hempstead, NY
• Providers in West Hempstead, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.