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General NPI Number Information
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NPI Number | 1689880429
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Entity Type | Individual
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Provider Name | NEOFITOS STEFANIDES M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 22215 NORTHERN BLVD STE LOBBYA
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City | BAYSIDE
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State | NY
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Zip | 11361-3678
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Country | US
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Telephone | 718-989-8515
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Fax | 718-626-0102
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Provider Business Mailing Address
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Address Line | PO BOX 605030
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City | BAYSIDE
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State | NY
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Zip | 11360-5030
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Country | US
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Telephone | 718-989-8515
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Fax | 718-989-6825
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 240488-7
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 240488-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 240488-1
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License Number State | NY
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