Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 235363-1 | NY |
NPI | 1003089442 |
---|---|
Provider Name | Dr. Angeliki Kazeros |
First Address | New York, NY 10016-3200 |
Second Address | New York, NY 10016-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2008 |
Last Update Date | 07/04/2008 |