Individual
ANGELO ANDONAKAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
LOURDES HOSPITAL, 169 RIVERSIDE DRIVE, BINGHAMTON, NY 13905
(607) 722-7264
Mailing address
40 FRONT ST STE C, BINGHAMTON, NY 13905-4712
(607) 722-7264
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MB10055600
NJ
207L00000X
Anesthesiology Physician
Primary
326268
NY
207L00000X
Anesthesiology Physician
OS008310L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001673318
—
PA
05
—
7393504
—
NJ
Enumeration date
09/06/2006
Last updated
11/03/2023
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