Tsiamtsiouris, Theofanis
Tsiamtsiouris, Theofanis is an individual health care provider with primary practice located at 100 Port Washington Blvd Ste 105 , Roslyn NY 11576. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Tsiamtsiouris, Theofanis can be contacted via phone (516) 390-9640.Contact Information
Primary practice address
100 Port Washington Blvd Ste 105
Roslyn NY 11576
Phone: (516) 390-9640
Fax: (516) 390-9650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 1984011 | New York |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 1984011 | New York |
Profile Details
| NPI number | 1306897541 |
|---|---|
| LBN Legal business name | Tsiamtsiouris, Theofanis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Oct 3rd, 2012 - about 12 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 | 1306897541 | NPPES |
| New York | MEDICAID | 02174312 |
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