Individual
MR. ATHANASSIOS PERDIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 FLAGG PLACE, STATEN ISLAND, NY 10304
(718) 351-3462
Mailing address
280 FLAGG PLACE, STATEN ISLAND, NY 10304
(718) 351-3462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
104988
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00182976
—
NY
Enumeration date
05/13/2009
Last updated
05/13/2009
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