Psalidas, Panagiotis George
Psalidas, Panagiotis George is an individual health care provider with primary practice located at 245 Engle Street , Englewood NJ 07631. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Psalidas, Panagiotis George can be contacted via phone (201) 569-9005.Contact Information
Primary practice address
245 Engle Street
Englewood NJ 07631
Phone: (201) 569-9005
Fax: (201) 569-9080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA07276300 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 204950 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07276300 | New Jersey |
Profile Details
| NPI number | 1114907730 |
|---|---|
| LBN Legal business name | Psalidas, Panagiotis George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Feb 12th, 2021 - about 3 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 | 1114907730 | NPPES |
| New York | MEDICAID | 01884459 | |
| New York | Other | D087424 | |
| New York | MEDICAID | 0124842 |
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