Individual
DR. COSTAS FROUSIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 22 30 TH AVE, ASTORIA, NY 11102
(718) 545-2500
(718) 777-1369
Mailing address
2509 CRESCENT ST, LONG ISLAND CITY, NY 11102-2937
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
203246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01659416
—
NY
01
—
203246-1
LICENSE NUMBER
NY
01
—
203246-B29
HEALTHFIRST
NY
01
—
267422
WELLCARE
NY
Enumeration date
12/13/2006
Last updated
07/08/2007
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