Organization
LEE AVRAMIDIS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE AVRAMIDIS MD (PEDIATRICIAN)
(315) 732-1191
Entity
Organization
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 732-1191
(315) 732-1193
Mailing address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 732-1191
(315) 732-1193
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
149472
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006142
GHI
NY
01
—
110036833002
CD/PHP
NY
05
—
1669465977
—
NY
01
—
265016
MVP
NY
Enumeration date
03/12/2012
Last updated
03/12/2012
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