Provider Demographics
NPI:1376720854
Name:ANAGNOSTOPOULOS, CONSTANTINE EFTHYMIOS (MD, SCD)
Entity Type:Individual
Prefix:DR
First Name:CONSTANTINE
Middle Name:EFTHYMIOS
Last Name:ANAGNOSTOPOULOS
Suffix:
Gender:M
Credentials:MD, SCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 E 89TH ST
Mailing Address - Street 2:APT 40 C/D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1251
Mailing Address - Country:US
Mailing Address - Phone:212-289-8654
Mailing Address - Fax:164-636-5600
Practice Address - Street 1:45 E 89TH ST
Practice Address - Street 2:APT 40 C/D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1251
Practice Address - Country:US
Practice Address - Phone:212-289-8654
Practice Address - Fax:164-636-5600
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-27
Last Update Date:2008-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152539-1208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)