Individual
DR. MICHAEL STAVROS RADEOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
234 E 149TH ST, ROOM 1-685, BRONX, NY 10451-5504
(718) 579-5370
(718) 579-4822
Mailing address
1922 COLDEN AVE, APARTMENT # 2, BRONX, NY 10462-3159
(718) 579-5370
(718) 579-4822
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
163814
NY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
163814
NY
Other
Enumeration date
11/09/2006
Last updated
06/19/2024
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