Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 136060 | NY |
NPI | 1114094083 |
---|---|
Provider Name | Dr. Thessaloniki Angelakos |
First Address | Scarsdale, NY 10583 |
Second Address | Scarsdale, NY 10583 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 28/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0004278457 | AETNA (01) | |
00325746 | (05) | NY |
0040139 | GHI (01) | |
03806 | GHI MEDICARE (01) | |
108156 | GHI HMO (01) | |
177901 | HIP (01) | |
177909 | HIP (01) | |
177912 | HIP (01) | |
35364200 | BCBS (01) | |
8350296 | CIGNA (01) | |
A62480 | (02) | |
P2819658 | OXFORD (01) |