| Nicholas Triantafillou MD PC | |
|
21305 39th Ave Bayside NY 11361-2044 | |
| (718) 224-1378 | |
| (718) 224-1758 |
| Full Name | Nicholas Triantafillou MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 21305 39th Ave, Bayside, New York |
| Authorized Official Name and Position | Jillian Asch (MANGER) |
| Authorized Official Contact | 5168250221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Triantafillou MD PC 21305 39th Ave Bayside NY 11361-2044 Ph: (718) 224-1378 | Nicholas Triantafillou MD PC 21305 39th Ave Bayside NY 11361-2044 Ph: (718) 224-1378 |
| NPI Number | 1477711976 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 06/24/2009 |
| Medicare PECOS PAC ID | 8325206436 |
|---|---|
| Medicare Enrollment ID | O20120221000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477711976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 199020 (New York) | Primary |
| Provider Name | Nicholas G Triantafillou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144212853 PECOS PAC ID: 2961491568 Enrollment ID: I20040510000369 |
| Provider Name | Maria Sabatini |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598827107 PECOS PAC ID: 6800993742 Enrollment ID: I20070529000521 |
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