Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 203327 | NY |
NPI | 1013078732 |
---|---|
Provider Name | Spyros Ge Mezitis |
First Address | New York, NY 10021-5737 |
Second Address | New York, NY 10021-5737 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G66785 | (02) | NY |