Healthcare Provider Details

I. General information

NPI: 1477342483
Provider Name (Legal Business Name): PROFESSIONAL ORTHOPEDIC SURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 FULTON AVE
HEMPSTEAD NY
11550-3941
US

IV. Provider business mailing address

352 FULTON AVE
HEMPSTEAD NY
11550-3941
US

V. Phone/Fax

Practice location:
  • Phone: 516-234-0614
  • Fax: 516-757-0509
Mailing address:
  • Phone: 516-234-0614
  • Fax: 516-757-0509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GUS KATSIGIORGIS
Title or Position: DO/OWNER
Credential: DO
Phone: 516-234-0614