Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 269188 | NY |
N | 111NI0900X | Internist | 269188 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 269188 | NY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 269188 | NY |
NPI | 1295065993 |
---|---|
Provider Name | Georgios Syros |
First Address | Astoria, NY 11102-2448 |
Second Address | Astoria, NY 11102-2448 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2010 |
Last Update Date | 01/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03994676 | (05) | NY |