Organization
S TSOUMPARIOTIS DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPYROS TSOUMPARIOTIS DPM (OWNER)
(917) 749-3713
Entity
Organization
Contact information
Practice address
7901 MYRTLE AVE, GLENDALE, NY 11385-7441
(718) 381-2300
(718) 381-0222
Mailing address
7901 MYRTLE AVE, GLENDALE, NY 11385-7441
(718) 381-2300
(718) 381-0222
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01765677
—
NY
01
—
1742076
UNITED HEALTHCARE
—
01
—
6201419
GHI
—
01
—
P630868
OXFORD
—
01
—
P9410
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/27/2020
Last updated
12/18/2020
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