Individual
DR. ANTONIOS GASPARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 EAST MAIN STREET, HUNTINGTON, NY 11743
(631) 470-1460
Mailing address
175 EAST MAIN STREET, HUNTINGTON, NY 11743
(631) 470-1460
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
217344
NY
2086S0129X
Vascular Surgery Physician
219617
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02406499
—
NY
01
—
0N8282
EMPIRE BC.BS
NY
01
—
7145455
AETNA
NY
Enumeration date
07/18/2006
Last updated
10/18/2023
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