Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N006667 | NY |
N | 222Z00000X | Podiatrist | N006667 | NY |
N | 213EP1101X | Primary Podiatric Medicine | N006667 | NY |
N | 111NR0200X | Radiology | N006667 | NY |
N | 213ER0200X | Radiology | N006667 | NY |
N | 2081S0010X | Sports Medicine | N006667 | NY |
N | 213ES0000X | Sports Medicine | N006667 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | 006667 | NY |
N | 213ES0131X | Foot Surgery | N006667 | NY |
NPI | 1083054019 |
---|---|
Provider Name | Matrona Giakoumis |
First Address | New York, NY 10035-1815 |
Second Address | New York, NY 10035-1815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2013 |
Last Update Date | 29/11/2016 |