Individual
DR. JOHN VLATTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21316 39TH AVE, BAYSIDE, NY 11361-2045
(718) 229-7800
(718) 279-7470
Mailing address
21316 39TH AVE, BAYSIDE, NY 11361-2045
(718) 229-7800
(718) 279-7470
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
195684
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195684-6
LICENSE
NY
Enumeration date
08/11/2005
Last updated
08/13/2013
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