Individual ProviderIppokratis KonstantinidisInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address20 York St, New Haven, CT 06510-3220(203) 688-4242(917) 603-4425PECOS EnrollmentBased on the most recent information from CMS, provider Ippokratis Konstantinidis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1285202226Provider TypeIndividualFull NameKonstantinidis, IppokratisCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/16/2021Last Updated9/18/2024Contact InformationPractice LocationPractice Address20 York St, New Haven, CT 06510-3220Phone(203) 688-4242FaxUnlisted FaxMailing LocationMailing Address367 Orange St Apt 414, New Haven, CT 06511-6478Phone(917) 603-4425FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense77643ConnecticutCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer