Individual
GEORGE S GIANNIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2605 23RD AVE, ASTORIA, NY 11105-3124
(718) 225-7075
Mailing address
26-05 23RD AVENUE, LONG ISLAND CITY, NY 11105
(718) 225-7075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1575261
NY
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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