Roditis, Nicholas
Roditis, Nicholas is an individual health care provider with primary practice located at 2318 31St St , Astoria NY 11105-2892. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Roditis, Nicholas can be contacted via phone (718) 932-6000.Contact Information
Primary practice address
2318 31St St
Astoria NY 11105-2892
Phone: (718) 932-6000
Fax: (718) 932-3194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 186545 | New York |
Profile Details
| NPI number | 1932104494 |
|---|---|
| LBN Legal business name | Roditis, Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Mar 27th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932104494 | NPPES |
| New York | MEDICAID | 01553662 |
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