Provider Demographics
NPI:1518967892
Name:BIZEKIS, COSTAS (MD)
Entity Type:Individual
Prefix:DR
First Name:COSTAS
Middle Name:
Last Name:BIZEKIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 32339
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06150-2339
Mailing Address - Country:US
Mailing Address - Phone:212-263-7160
Mailing Address - Fax:212-263-7576
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:SUITE 9V
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-7102
Practice Address - Fax:212-263-2042
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208886208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)