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:
Health care specialties
Specialty | Code | License # | 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 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 | 1578586533 | NPPES |
New York | Other | 246636 | LICENSE |
New York | MEDICAID | 02810382 | LICENSE |
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