Individual
DR. THESSALONIKI ANGELAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36 CRANE ROAD, SCARSDALE, NY 10583
(914) 725-5120
(914) 725-5975
Mailing address
36 CRANE ROAD, SCARSDALE, NY 10583
(914) 725-5120
(914) 725-5975
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
136060
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004278457
AETNA
—
05
—
00325746
—
NY
01
—
0040139
GHI
—
01
—
03806
GHI MEDICARE
—
01
—
108156
GHI HMO
—
01
—
177901
HIP
—
01
—
177909
HIP
—
01
—
177912
HIP
—
01
—
35364200
BCBS
—
01
—
8350296
CIGNA
—
01
—
P2819658
OXFORD
—
Enumeration date
11/29/2006
Last updated
03/28/2008
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