Individual
DR. GEORGE XENAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
25 W 18TH ST FL 4, NEW YORK, NY 10011-4676
(212) 388-2021
(212) 388-3156
Mailing address
145 E 15TH ST APT 6U, NEW YORK, NY 10003-3537
(917) 374-5082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042180
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00244404
MEDICAID
NY
Enumeration date
10/15/2007
Last updated
02/05/2024
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