Provider Demographics
NPI:1417016890
Name:PAPAGEORGE, ARIADNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIADNA
Middle Name:
Last Name:PAPAGEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2206
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0054
Mailing Address - Country:US
Mailing Address - Phone:212-535-8300
Mailing Address - Fax:212-472-3086
Practice Address - Street 1:1421 3RD AVE
Practice Address - Street 2:4TH FLR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1802
Practice Address - Country:US
Practice Address - Phone:212-535-8300
Practice Address - Fax:212-472-3086
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153500207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY96D191Medicare PIN
NYB80500Medicare UPIN