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NPI Code Detail

MEDICARE: NIKOLAOS I. H. PAPAMITSAKIS MD

MEDICARE: NIKOLAOS I. H. PAPAMITSAKIS MD
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
12084N0400XNeurology Physician29409SC
22084N0400XNeurology Physician25MA07505600NJ
32084N0400XNeurology Physician4301073105MI
42084N0400XNeurology Physician258631NY
52084N0400XNeurology Physician65156CT
62084V0102XVascular Neurology Physician258631NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467452797
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKOLAOS I. H. PAPAMITSAKIS MD
Provider Business Mailing Address
First Line : 450 CLARKSON AVE STE B6-314
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2012
Country : US
Telephone Number : 718-221-5188
Fax Number : 718-221-5761
Provider Business Practice Location Address
First Line : 450 CLARKSON AVE STE B6-314
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2012
Country : US
Telephone Number : 718-270-1259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 11/16/2021

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