Georgatos, Eustace Gerassimos

Georgatos, Eustace Gerassimos is an individual health care provider with primary practice located at 8268 164Th St , Jamaica NY 11432-1121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Georgatos, Eustace Gerassimos can be contacted via phone (718) 883-3225.

Contact Information

Primary practice address
8268 164Th St Jamaica NY 11432-1121
Phone: (718) 883-3225
Fax: (718) 883-6193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 136896 New York

Profile Details

NPI number 1396842340
LBN Legal business name Georgatos, Eustace Gerassimos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 30th, 2015 - 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 1396842340 NPPES
New York MEDICAID 00246075

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