Antoniadis, Athanasios

Antoniadis, Athanasios is an individual health care provider with primary practice located at 750 Montauk Hwy , West Islip NY 11795-4411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Antoniadis, Athanasios can be contacted via phone (631) 376-1010.

Contact Information

Primary practice address
750 Montauk Hwy West Islip NY 11795-4411
Phone: (631) 376-1010
Fax: (631) 376-6156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 1831001 New York

Profile Details

NPI number 1730286485
LBN Legal business name Antoniadis, Athanasios
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Apr 9th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730286485 NPPES
New York Other P790338 OXFORD
New York Other 37K392 OXFORD

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