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Individual

HARRY T JOSIFIDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
27 47 CRESCENT STREET, SUITE 206, LONG ISLAND CITY, NY 11102
(718) 728-5529
(718) 728-5586
Mailing address
27 47 CRESCENT STREET, SUITE 206, LONG ISLAND CITY, NY 11102
(718) 728-5529
(718) 728-5586

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
166922
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01463616
NY
01
172919
WELLCARE
NY
01
HJ076D4710
B CROSS
NY
01
N52982
OXFORD
NY
Enumeration date
12/14/2006
Last updated
07/08/2007
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