Mavrogeorgis, Evangelos
Mavrogeorgis, Evangelos is an individual health care provider with primary practice located at 350 S Broadway , Hicksville NY 11801-5006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mavrogeorgis, Evangelos can be contacted via phone (516) 938-0100.Contact Information
Primary practice address
350 S Broadway
Hicksville NY 11801-5006
Phone: (516) 938-0100
Fax: (516) 938-0120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 105611 | New York |
Profile Details
| NPI number | 1649227505 |
|---|---|
| LBN Legal business name | Mavrogeorgis, Evangelos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 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 | 1649227505 | NPPES |
| New York | MEDICAID | 00800064 |
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