Individual
XENOPHON PARASEKA XENOPHONTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
231 WASHINGTON AVE, GARDEN CITY, NY 11530-1882
(516) 227-2721
(516) 227-0564
Mailing address
231 WASHINGTON AVE, GARDEN CITY, NY 11530-1882
(516) 227-2721
(516) 227-0564
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
192415
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01609838
—
NY
01
—
020031357
RR MEDICARE PIN
—
Enumeration date
05/11/2006
Last updated
09/20/2011
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