Provider Demographics
NPI:1629090527
Name:ANDREOPOULOU, PANAGIOTA (MD)
Entity Type:Individual
Prefix:DR
First Name:PANAGIOTA
Middle Name:
Last Name:ANDREOPOULOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:PANAGIOTA
Other - Middle Name:
Other - Last Name:ANDREUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1305 YORK AVENUE
Mailing Address - Street 2:Y-433 FRONT DESK
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:646-962-8690
Mailing Address - Fax:646-962-0114
Practice Address - Street 1:1305 YORK AVE
Practice Address - Street 2:Y-433 FRONT DESK
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:646-962-8690
Practice Address - Fax:646-962-8690
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241426207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine