Theodorou, Spero John
Theodorou, Spero John is an individual health care provider with primary practice located at 128 Central Park S , New York NY 10019-1565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Theodorou, Spero John can be contacted via phone (212) 265-2724.Contact Information
Primary practice address
128 Central Park S
New York NY 10019-1565
Phone: (212) 265-2724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 228653 | New York |
Profile Details
| NPI number | 1669444972 |
|---|---|
| LBN Legal business name | Theodorou, Spero John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Apr 17th, 2019 - about 5 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 | 1669444972 | NPPES |
| New Jersey | MEDICAID | 0063771 |
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