Individual
DR. ALEXANDER KINTZOGLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10105 LEFFERTS BLVD STE 203, SOUTH RICHMOND HILL, NY 11419-2014
(718) 441-8086
(718) 441-8087
Mailing address
10105 LEFFERTS BLVD STE 203, SOUTH RICHMOND HILL, NY 11419-2014
(718) 441-8086
(718) 441-8087
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
166870
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00964916
—
NY
01
—
1000015444
AFFINITY
NY
01
—
750331
EMPIRE
NY
Enumeration date
09/08/2006
Last updated
07/07/2010
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