Organization
NICHOLAS TRIANTAFILLOU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN ASCH (MANGER)
(516) 825-0221
Entity
Organization
Contact information
Practice address
21305 39TH AVE, BAYSIDE, NY 11361-2044
(718) 224-1378
(718) 224-1758
Mailing address
21305 39TH AVE, BAYSIDE, NY 11361-2044
(718) 224-1378
(718) 224-1758
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
199020
NY
Other
Enumeration date
05/30/2008
Last updated
06/24/2009
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