Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005435 | NY |
NPI | 1073505343 |
---|---|
Provider Name | Dr. Konstantinos Gus Kallinikos |
First Address | Brooklyn, NY 11224-4010 |
Second Address | Brooklyn, NY 11224-4063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 12/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01977971 | (05) | NY |
03655 | GHI MEDICARE (01) | NY |
161148 | ELDERPLAN (01) | NC |
1902861 | UNITED HEALTH CARE (01) | NY |
2700985 | EVERCARE (01) | NY |
480034729 | MEDICARE RAILROAD (01) | NY |
4C0018 | PHS (01) | NY |
6201697 | GHI (01) | NY |
N005435 | HIP (01) | NY |
P1946748 | OXFORD (01) | NY |
U70420 | (02) | NY |