Katherine Antzoulatos
Primary Podiatric Medicine
915 150th St
Whitestone
, New York 11357-1653
Katherine Antzoulatos
Primary Podiatric Medicine
915 150th St
Whitestone
, New York 11357-1653
(347) 642-0315
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Katherine Antzoulatos
- 915 150th St
- Whitestone, NY
- Zip : 11357-1653
- Phone : (347) 642-0315
Second Address
- Katherine Antzoulatos
- 915 150th St
- Whitestone, NY
- Zip : 11357-1653
- Phone : (347) 642-0315
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | N004198 | NY |
National Provider Identifier
| NPI | 1366908139 |
|---|---|
| Provider Name | Katherine Antzoulatos |
| First Address | Whitestone, NY 11357-1653 |
| Second Address | Whitestone, NY 11357-1653 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2019 |
| Last Update Date | 15/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.