Alexander Nicolaides
Procedural Dermatology
2318 31st St Suite 320
Astoria
, New York 11105-2892
Alexander Nicolaides
Procedural Dermatology
2318 31st St Suite 320
Astoria
, New York 11105-2892
(718) 728-2004
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Alexander Nicolaides
- 2318 31st St Suite 320
- Astoria, NY
- Zip : 11105-2892
- Fax : (718) 728-2004
- Phone : (718) 728-9822
Second Address
- Alexander Nicolaides
- 2318 31st St Suite 320
- Astoria, NY
- Zip : 11105-2892
- Fax : (718) 728-2004
- Phone : (718) 728-9822
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 212075 | NY |
National Provider Identifier
| NPI | 1023104023 |
|---|---|
| Provider Name | Alexander Nicolaides |
| First Address | Astoria, NY 11105-2892 |
| Second Address | Astoria, NY 11105-2892 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 30/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 07365G | MEDICARE PROVIDER NUMBER (01) | NY |
| H37269 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.