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NPI Code Detail

MEDICARE: PETER G ANDRIAKOS M.D.

MEDICARE: PETER G ANDRIAKOS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician162837-1NY

General Provider Information

NPI Number : 1376547885
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER G ANDRIAKOS M.D.
Provider Business Mailing Address
First Line : 1450 WESTERN AVE
Second Line : SUITE 102
City : ALBANY
State : NY
Zip : 12203-3539
Country : US
Telephone Number : 518-463-0050
Fax Number : 518-207-2973
Provider Business Practice Location Address
First Line : 1450 WESTERN AVE
Second Line : SUITE 102
City : ALBANY
State : NY
Zip : 12203-3539
Country : US
Telephone Number : 518-463-0050
Fax Number : 518-207-2973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 05/24/2016

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Directions to “ PETER G ANDRIAKOS M.D.” Practice Location

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