Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 271620 | NY |
NPI | 1235372897 |
---|---|
Provider Name | Dr. Ioannis Christos Zouzias |
First Address | Garden City, NY 11530-1886 |
Second Address | Garden City, NY 11530-1886 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 23/03/2021 |