Dr. John Vlattas
Pain Medicine
21316 39th Ave
Bayside
, New York 11361-2045
Dr. John Vlattas
Pain Medicine
21316 39th Ave
Bayside
, New York 11361-2045
(718) 279-7470
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. John Vlattas
- 21316 39th Ave
- Bayside, NY
- Zip : 11361-2045
- Fax : (718) 279-7470
- Phone : (718) 229-7800
Second Address
- Dr. John Vlattas
- 21316 39th Ave
- Bayside, NY
- Zip : 11361-2045
- Fax : (718) 279-7470
- Phone : (718) 229-7800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 195684 | NY |
National Provider Identifier
| NPI | 1063414852 |
|---|---|
| Provider Name | Dr. John Vlattas |
| First Address | Bayside, NY 11361-2045 |
| Second Address | Bayside, NY 11361-2045 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2005 |
| Last Update Date | 13/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 195684-6 | LICENSE (01) | NY |
| G03614 | (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.