Provider Demographics
NPI:1356325526
Name:EFKARPIDES, TEDDY (DPM)
Entity Type:Individual
Prefix:DR
First Name:TEDDY
Middle Name:
Last Name:EFKARPIDES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15113 84TH DR
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2520
Mailing Address - Country:US
Mailing Address - Phone:718-262-9808
Mailing Address - Fax:718-658-4674
Practice Address - Street 1:15113 84TH DR
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-2520
Practice Address - Country:US
Practice Address - Phone:718-262-9808
Practice Address - Fax:718-658-4674
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004227213E00000X, 213EP1101X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2093891OtherOXFORD
NY01314181Medicaid
NY01314181Medicaid
NY07691Medicare ID - Type Unspecified