Physician Compare National (NPI:1881976207)

HEALTHCARE PROVIDER: IOANNIS ALAGKIOZIDIS 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	1881976207
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820210651
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141112000692
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALAGKIOZIDIS
	Individual professional last name
Provider First Name	IOANNIS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	GYNECOLOGICAL ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	OBSTETRICS/GYNECOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	OBSTETRICS/GYNECOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	MMC GYNECOLOGY ONCOLOGY FPP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2163609116
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	953 49TH ST
	Group Practice or individual's line 1 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112192923
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7182838225
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330160
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	STATEN ISLAND UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330194
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MAIMONIDES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y