Healthcare Provider Details

I. General information

NPI: 1679150635
Provider Name (Legal Business Name): GEORGE TITOMIHELAKIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3219 E TREMONT AVE
BRONX NY
10461-5751
US

IV. Provider business mailing address

3219 E TREMONT AVE
BRONX NY
10461-5751
US

V. Phone/Fax

Practice location:
  • Phone: 718-824-4836
  • Fax: 718-792-2652
Mailing address:
  • Phone: 718-824-4836
  • Fax: 718-792-2652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number346492
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: