Provider Demographics
NPI:1558507137
Name:GERACIMOS, DARIN JOHN (MD)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:JOHN
Last Name:GERACIMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 GOLD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1607
Mailing Address - Country:US
Mailing Address - Phone:212-312-5070
Mailing Address - Fax:
Practice Address - Street 1:83 GOLD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1607
Practice Address - Country:US
Practice Address - Phone:212-312-5070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-02
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD439693207P00000X
NY250451207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine