Individual
DR. GEORGE VASILIADIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
190 MAIN ST, TONAWANDA, NY 14150-3334
(716) 693-1050
(716) 693-1240
Mailing address
190 MAIN ST, TONAWANDA, NY 14150-3334
(716) 693-1050
(716) 693-1240
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004647
NY
213EP0504X
Public Medicine Podiatrist
N004647
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N004647
NY
213ER0200X
Radiology Podiatrist
N004647
NY
213ES0000X
Sports Medicine Podiatrist
N004647
NY
213ES0131X
Foot Surgery Podiatrist
N004647
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010257301
UNIVERA HEALTHCARE
NY
01
—
000510938003
BC/ BS OF WNY
NY
01
—
0076008
GROUP HEALTH
NY
05
—
01195573
—
NY
01
—
040426002701
FIDELIS CARE
NY
01
—
8990088
INDEPENDENT HEALTH
NY
01
—
Y017440
TRICARE/ CHAMPUS
NY
Enumeration date
02/21/2006
Last updated
05/08/2026
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