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Organization

NICHOLAS TRIANTAFILLOU MD PC

Active
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Organization

NICHOLAS TRIANTAFILLOU MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILLIAN ASCH (MANGER)
(516) 825-0221
Entity
Organization

Contact information

Practice address
21305 39TH AVE, BAYSIDE, NY 11361-2044
(718) 224-1378
(718) 224-1758
Mailing address
21305 39TH AVE, BAYSIDE, NY 11361-2044
(718) 224-1378
(718) 224-1758

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
199020
NY

Other

Enumeration date
05/30/2008
Last updated
06/24/2009
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