Stathopoulos, Ioannis

Stathopoulos, Ioannis is an individual health care provider with primary practice located at 3010 38Th St Fl 2 , Astoria NY 11103-3804. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Stathopoulos, Ioannis can be contacted via phone (718) 278-7376.

Contact Information

Primary practice address
3010 38Th St Fl 2 Astoria NY 11103-3804
Phone: (718) 278-7376
Fax: (718) 865-9192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 246636 New York

Profile Details

NPI number 1578586533
LBN Legal business name Stathopoulos, Ioannis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Sep 23rd, 2014 - about 11 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 1578586533 NPPES
New York Other 246636 LICENSE
New York MEDICAID 02810382 LICENSE

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