Individual
GEORGE NICHOLAS CORITSIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7901 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Mailing address
7901 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
163705
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01477114
—
NY
Enumeration date
06/06/2006
Last updated
01/16/2008
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