Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 007070 | NY |
NPI | 1033621107 |
---|---|
Provider Name | Dr. Pariskevi Kekatos |
First Address | Dix Hills, NY 11746-5010 |
Second Address | Dix Hills, NY 11746-5010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2017 |
Last Update Date | 16/06/2020 |