Individual
ATHANASIA S VASILIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 E 102ND ST, NEW YORK, NY 10029-5204
(212) 659-8551
(212) 831-8116
Mailing address
BOX 3000, 1GUSTAVE L LEVY PLACE, NEW YORK, NY 10029
(212) 987-3100
(212) 731-5210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
191699
NY
Other
Enumeration date
07/18/2006
Last updated
11/01/2018
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