Individual
MR. GEORGE ATHANASATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030
(201) 303-2327
Mailing address
15031 12TH AVE APT 104, WHITESTONE, NY 11357-1857
(201) 303-2327
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
294220
NY
390200000X
Student in an Organized Health Care Education/Training Program
193460
NC
390200000X
Student in an Organized Health Care Education/Training Program
MT202269
PA
Other
Enumeration date
06/08/2012
Last updated
05/12/2026
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