Individual
MATRONA GIAKOUMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
53 E 124TH ST, NEW YORK, NY 10035-1815
(212) 410-8058
Mailing address
53 E 124TH ST, NEW YORK, NY 10035-1815
(212) 410-8058
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N006667
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N006667
NY
213ER0200X
Radiology Podiatrist
N006667
NY
213ES0000X
Sports Medicine Podiatrist
N006667
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006667
NY
213ES0131X
Foot Surgery Podiatrist
N006667
NY
Other
Enumeration date
07/05/2013
Last updated
11/29/2016
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