Organization
ARIKOSTADARAS,M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARI KOSTADARAS M.D. (PRESIDENT)
(718) 721-4440
Entity
Organization
Contact information
Practice address
2318 31ST ST, SUITE 220, ASTORIA, NY 11105-2892
(718) 721-4440
(718) 907-7932
Mailing address
2510 38TH ST, ASTORIA, NY 11103-4224
(718) 721-4440
(718) 907-7932
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
189511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01546501
—
NY
01
—
189511
LICENSE
NY
Enumeration date
01/20/2009
Last updated
03/11/2009
Update your record
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