Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 247904 | NY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 247904 | NY |
NPI | 1245494368 |
---|---|
Provider Name | Dr. Alexios Apazidis |
First Address | Saint Albans, NY 11412-3223 |
Second Address | Saint Albans, NY 11412-3223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2008 |
Last Update Date | 02/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1245494368 | (02) | NY |
1245607126 | (02) | NY |