Individual
DR. THEOFANIS TSIAMTSIOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PORT WASHINGTON BLVD STE 105, ROSLYN, NY 11576
(516) 390-9640
(516) 390-9650
Mailing address
100 PORT WASHINGTON BLVD STE 105, ROSLYN, NY 11576
(516) 390-9640
(516) 390-9650
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
1984011
NY
207RI0011X
Interventional Cardiology Physician
Primary
1984011
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02174312
—
NY
Enumeration date
05/12/2006
Last updated
10/03/2012
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