Healthcare Provider Details

I. General information

NPI: 1750776738
Provider Name (Legal Business Name): BILL PAPAGIANNOPOULOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2015
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 WASHINGTON SQ W STE 6B
NEW YORK NY
10011-9126
US

IV. Provider business mailing address

31 WASHINGTON SQ W STE 6B
NEW YORK NY
10011-9126
US

V. Phone/Fax

Practice location:
  • Phone: 646-801-2951
  • Fax:
Mailing address:
  • Phone: 646-801-2951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number3477321
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number3477321
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: