Individual
JOHN M ATHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 5TH AVE, SUITE 45A, NEW YORK, NY 10016-5038
(212) 532-4590
Mailing address
325 5TH AVE, SUITE 45A, NEW YORK, NY 10016-5038
(212) 532-4590
(917) 595-5325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
241191
NY
2085N0700X
Neuroradiology Physician
Primary
MD33578
DC
2085R0202X
Diagnostic Radiology Physician
MD33578
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02888351
—
NY
Enumeration date
10/26/2005
Last updated
05/20/2025
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