Individual
DR. ANASTASIOS JOHN KANELLOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 E 61ST ST, SUITE 1B, NEW YORK, NY 10021-8183
(212) 355-2215
Mailing address
115 E 61ST ST, SUITE 1B, NEW YORK, NY 10021-8183
(212) 355-2215
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
189420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01704521
—
NY
Enumeration date
08/13/2006
Last updated
07/08/2007
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