Healthcare Provider Details
I. General information
NPI: 1285946830
Provider Name (Legal Business Name): ARAPIDIS FOOT CARE OF GREATER NY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2010
Last Update Date: 07/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25 W 45TH ST 1407
NEW YORK NY
10036-4902
US
IV. Provider business mailing address
25 W 45TH ST
NEW YORK NY
10036-4902
US
V. Phone/Fax
- Phone: 212-704-4310
- Fax:
- Phone: 212-704-4310
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | N005728 |
| License Number State | NY |
VIII. Authorized Official
Name: DR.
IOANIS
ARAPIDIS
Title or Position: PRESIDENT
Credential: DPM
Phone: 212-704-4310