| Aristotelis Sakellaridis, MD, PC | |
|
400 S Oyster Bay Rd Suite 205 Hicksville NY 11801-3500 | |
| (516) 935-1312 | |
| (516) 935-9405 |
| Full Name | Aristotelis Sakellaridis, MD, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 S Oyster Bay Rd, Hicksville, New York |
| Authorized Official Name and Position | Aristotelis V Sakellaridis (OWNER) |
| Authorized Official Contact | 5169351312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aristotelis Sakellaridis, MD, PC 400 S Oyster Bay Rd Suite 205 Hicksville NY 11801-3500 Ph: (516) 935-1312 | Aristotelis Sakellaridis, MD, PC 400 S Oyster Bay Rd Suite 205 Hicksville NY 11801-3500 Ph: (516) 935-1312 |
| NPI Number | 1962766709 |
|---|---|
| Provider Enumeration Date | 06/26/2012 |
| Last Update Date | 05/25/2021 |
| Certification Date | 05/25/2021 |
| Medicare PECOS PAC ID | 7012163553 |
|---|---|
| Medicare Enrollment ID | O20120815000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962766709 | NPI | - | NPPES |
| 03551493 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 183829-1 (New York) | Primary |
| Provider Name | Aristotelis V Sakellaridis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194784421 PECOS PAC ID: 5991751679 Enrollment ID: I20050324001328 |
| Provider Name | Rajeev D Srivastava |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598706368 PECOS PAC ID: 0547288904 Enrollment ID: I20080403000140 |
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