Individual
SPYROS TSOUMPARIOTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
79-01 MYRTLE AVE, GLENDALE, NY 11385
(718) 381-2300
(718) 381-0222
Mailing address
79-01 MYRTLE AVE, GLENDALE, NY 11385
(718) 381-2300
(718) 381-0222
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005288
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01765677
—
NY
01
—
100157
ELDERPLAN
—
01
—
1742076
UNITED HEALTHCARE
—
01
—
37175P
HIP
—
01
—
6201419
GHI
—
01
—
P630868
OXFORD
—
01
—
P9410
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/26/2006
Last updated
09/15/2020
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