Deligiannidis, Konstantinos

Deligiannidis, Konstantinos is an individual health care provider with primary practice located at 1983 Marcus Ave Suite C102, New Hyde Park NY 11042-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deligiannidis, Konstantinos can be contacted via phone (516) 876-4100.

Contact Information

Primary practice address
1983 Marcus Ave Suite C102 New Hyde Park NY 11042-2000
Phone: (516) 876-4100
Fax: (516) 876-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 285158 New York

Profile Details

NPI number 1366593485
LBN Legal business name Deligiannidis, Konstantinos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Oct 4th, 2016 - about 8 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 1366593485 NPPES
New York MEDICAID 2140292

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