Kintzoglou, Alexander

Kintzoglou, Alexander is an sole proprietor health care provider with primary practice located at 10105 Lefferts Blvd Ste 203 , South Richmond Hill NY 11419-2014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Kintzoglou, Alexander can be contacted via phone (718) 441-8086.

Contact Information

Primary practice address
10105 Lefferts Blvd Ste 203 South Richmond Hill NY 11419-2014
Phone: (718) 441-8086
Fax: (718) 441-8087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 166870 New York

Profile Details

NPI number 1093819203
LBN Legal business name Kintzoglou, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2006
Last updated Jul 7th, 2010 - about 14 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 1093819203 NPPES
New York MEDICAID 00964916
New York Other 1000015444
New York Other 750331

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