Individual
ATHANASIOS TOURNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 GUY PARK AVE, SUITE 100, AMSTERDAM, NY 12010-1043
(518) 770-7830
(518) 770-7805
Mailing address
425 GUY PARK AVE, SUITE 100, AMSTERDAM, NY 12010-1043
(518) 770-7830
(518) 770-7805
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101249529
VA
207Y00000X
Otolaryngology Physician
268672
NY
207YS0123X
Facial Plastic Surgery Physician
Primary
268672
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101249529
STATE LICENSE
VA
01
—
268672
STATE LICENSE
NY
Enumeration date
08/30/2011
Last updated
06/16/2016
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