Constance Dinovo, RN
Individual provider Active NPI Registered Nurse · Colonie, NY
NPI 1164545026 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1164545026
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 392177-1 (NY)
- Practice address
- 23 University St
Colonie, NY 12205-3236 - Phone
- (518) 482-5679
- NPI assigned
- Apr 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 392177-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 392177-1 | NY | Yes |
Addresses
Primary practice location
23 University St
Colonie, NY 12205-3236
Mailing address
23 University St
Colonie, NY 12205-3236
Phone (518) 482-5679
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01341042 | Medicaid | NY |
Other providers in Colonie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.