# CHRISTOS STAVROPOULOS, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902000458
- **Authorized official:** MARIE FARRELL RN CCSP (DIRECTOR CODING)
- **Authorized official phone:** (845) 634-6500

## Contact information

- **Practice address:** 17 SQUADRON BLVD, 400, NEW CITY, NY 10956-5214
- **Practice address phone:** (845) 634-6500
- **Practice address fax:** (845) 634-9424
- **Mailing address:** 36 7TH AVE, SUITE 402, NEW YORK, NY 10011-6609
- **Mailing address phone:** (646) 483-0934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 230175 | NY | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 08/22/2020