Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 189401 | NY |
NPI | 1033202429 |
---|---|
Provider Name | Dr. Paul Kritikos |
First Address | New Hyde Park, NY 11040-1759 |
Second Address | New Hyde Park, NY 11040-1759 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 16/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00246075 | (05) | NY |
G02492 | (02) | NY |