Individual
KONSTANTINOS PANAGIOTI VERVERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(646) 714-6785
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(646) 714-6785
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013461
NY
Other
Enumeration date
08/12/2009
Last updated
04/21/2021
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