Healthcare Provider Details

I. General information

NPI: 1154468122
Provider Name (Legal Business Name): EILEEN SCHNAUE-CONSTANTOURIS DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 VETERANS MEMORIAL HWY SUITE#1
COMMACK NY
11725-3452
US

IV. Provider business mailing address

69 VETERANS MEMORIAL HWY STE 1
COMMACK NY
11725-3452
US

V. Phone/Fax

Practice location:
  • Phone: 631-462-2033
  • Fax: 631-462-3511
Mailing address:
  • Phone: 516-983-7813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberN005258
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberN005258
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN005258
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: