Individual
DR. NICHOLAS RODITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2318 31ST ST, ASTORIA, NY 11105-2892
(718) 932-6000
(718) 932-3194
Mailing address
2318 31ST ST, ASTORIA, NY 11105-2892
(718) 932-6000
(718) 932-3194
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
186545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01553662
—
NY
Enumeration date
06/20/2005
Last updated
03/27/2014
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