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General NPI Number Information
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NPI Number | 1871750307
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Entity Type | Individual
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Provider Name | PARASKEVAS STEFANIDES M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 22215 NORTHERN BLVD STE LA
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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 | 100 BROMPTON RD
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City | GARDEN CITY
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State | NY
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Zip | 11530-2704
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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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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 249030
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License Number State | NY
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