Healthcare Provider Details

I. General information

NPI: 1194600072
Provider Name (Legal Business Name): HEALTHOS HEALTHCARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

287 PARK AVE S # 204
NEW YORK NY
10010-4573
US

IV. Provider business mailing address

287 PARK AVE S # 204
NEW YORK NY
10010-4573
US

V. Phone/Fax

Practice location:
  • Phone: 646-954-1000
  • Fax: 646-607-9131
Mailing address:
  • Phone: 646-954-1000
  • Fax: 646-607-9131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW TERRY SIDERIS
Title or Position: CHIEF MEDICAL DIRECTOR
Credential: MD
Phone: 917-399-4375