Active NPI
Constantino George Lambroussis, D.O.
- Family Medicine Physician
- Elmira, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 291753
- Practice address
- 200 Madison Ave
Suite 2B
Elmira, NY 14901-3218 - Phone
- (607) 732-1310
- Fax
- (607) 733-0940
- NPI assigned
- Jun 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 291753 | NY | Primary |
Addresses
Primary practice location
200 Madison Ave
Suite 2B
Elmira, NY 14901-3218
Mailing address
571 Saint Josephs Blvd
FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291753 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Medical Services PLLC | Family Medicine | Current | Accepting new patients |
Locations
200 Madison Ave
Ste 2B
Elmira, NY 14901
Phone (607) 732-1310
600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161
571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050
3005 Watkins Rd
Horseheads, NY 14845
Phone (607) 378-6673
2977 Westinghouse Rd
Horseheads, NY 14845
Phone (607) 378-6662
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1477967982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 SAINT JOSEPHS BLVD",
"address_2": "FL 2",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013230",
"telephone_number": "607-271-2050",
"fax_number": "607-873-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MADISON AVE",
"address_2": "SUITE 2B",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013218",
"telephone_number": "607-732-1310",
"fax_number": "607-733-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBROUSSIS",
"first_name": "CONSTANTINO",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-12",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "291753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.