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Organization
HELLENIC MEDICAL PC
Active
Organization
HELLENIC MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOCRATES KANGADIS M.D, (PRESIDENT/PHYSICIAN)
(718) 909-8010
Entity
Organization
Contact information
Practice address
2309 31ST ST, UNIT # 3, ASTORIA, NY 11105-2767
(718) 204-2200
(718) 204-2218
Mailing address
2309 31ST ST, UNIT # 3, ASTORIA, NY 11105-2767
(718) 204-2200
(718) 204-2218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
258353
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03367508
—
NY
01
—
258353-2W
WORKER'S COMPENSATION NO.
NY
01
—
33D2013184
CLIA
NY
Enumeration date
07/22/2011
Last updated
12/19/2011
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