Individual
DR. JOHN CHRISTODOULIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 MAIN ST, NIAGARA FALLS, NY 14301-1128
(716) 285-1534
Mailing address
820 MAIN ST, NIAGARA FALLS, NY 14301-1128
(716) 285-1534
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
123884
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00635167
—
NY
Enumeration date
10/19/2006
Last updated
07/08/2007
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