Christodoulides, John
Christodoulides, John is an sole proprietor health care provider with primary practice located at 820 Main St , Niagara Falls NY 14301-1128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Christodoulides, John can be contacted via phone (716) 285-1534.Contact Information
Primary practice address
820 Main St
Niagara Falls NY 14301-1128
Phone: (716) 285-1534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 123884 | New York |
Profile Details
| NPI number | 1922180066 |
|---|---|
| LBN Legal business name | Christodoulides, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922180066 | NPPES |
| New York | MEDICAID | 00635167 |
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