Provider Demographics
NPI:1245607126
Name:ALEXIOS APAZIDIS, M.D., PC
Entity Type:Organization
Organization Name:ALEXIOS APAZIDIS, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:APAZIDIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-971-9300
Mailing Address - Street 1:20001 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:NY
Mailing Address - Zip Code:11412-3223
Mailing Address - Country:US
Mailing Address - Phone:718-971-9300
Mailing Address - Fax:888-461-3253
Practice Address - Street 1:20001 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-3223
Practice Address - Country:US
Practice Address - Phone:718-971-9300
Practice Address - Fax:888-461-3253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247904207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400048228Medicare PIN