Physician Compare National (NPI:1760589659)

HEALTHCARE PROVIDER: ANGELIKI PSIMOULIS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1760589659
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335338169
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110111000012
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PSIMOULIS
	Individual professional last name
Provider First Name	ANGELIKI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	FOREIGN DENTAL SCHOOLS
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3082 36TH ST
	Group Practice or individual's line 1 address
City	ASTORIA
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	111034705
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7185453070
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y