Individual
DR. CONSTANTINE ANTHONY AXIOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116-120 E 36TH ST, NEW YORK, NY 10016-3465
(212) 683-1416
Mailing address
700 BURR ST, FAIRFIELD, CT 06824-7109
(203) 254-1476
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
164558
NY
Other
Enumeration date
04/20/2006
Last updated
10/23/2007
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