| Constantin C Anagnostopoulos Md Pc | |
|
30-14 31st Avenue Long Island City NY 11106-2405 | |
| (718) 545-4080 | |
| Not Available |
| Full Name | Constantin C Anagnostopoulos Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30-14 31st Avenue, Long Island City, New York |
| Authorized Official Name and Position | Constantin C Anagnostopoulos (OWNER) |
| Authorized Official Contact | 7185454080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Constantin C Anagnostopoulos Md Pc 33 Peppermill Road Roslyn NY 11576-3105 Ph: (718) 545-4080 | Constantin C Anagnostopoulos Md Pc 30-14 31st Avenue Long Island City NY 11106-2405 Ph: (718) 545-4080 |
| NPI Number | 1578709556 |
|---|---|
| Provider Enumeration Date | 12/23/2008 |
| Last Update Date | 12/23/2008 |
| Medicare PECOS PAC ID | 7810029774 |
|---|---|
| Medicare Enrollment ID | O20100714000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578709556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 121324 (New York) | Primary |
| Provider Name | Constantin Anagnostopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023103363 PECOS PAC ID: 0446279442 Enrollment ID: I20051118000709 |
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