Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N004227 | NY |
Y | 222Z00000X | Podiatrist | N004227 | NY |
N | 213EP1101X | Primary Podiatric Medicine | N004227 | NY |
N | 213ES0131X | Foot Surgery | N004227 | NY |
NPI | 1356325526 |
---|---|
Provider Name | Dr. Teddy Efkarpides |
First Address | Jamaica, NY 11432-2520 |
Second Address | Jamaica, NY 11432-2520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 06/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01314181 | (05) | NY |
P2093891 | OXFORD (01) | NY |
T31737 | (02) | NY |