Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 269649 | NY |
Y | 208600000X | Surgeon | 269649 | NY |
N | 208200000X | Surgeon | 01080002A | IN |
N | 208600000X | Surgeon | 01080002A | IN |
N | 2086S0105X | Surgery of the Hand | 01080002A | IN |
NPI | 1669623724 |
---|---|
Provider Name | Sotirios Papafragkou |
First Address | Atlanta, GA 30318-2698 |
Second Address | Mineola, NY 11501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 01/05/2020 |