Provider Demographics
NPI:1659540748
Name:STERGIOPOULOS, SOTIRIOS GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:SOTIRIOS
Middle Name:GEORGE
Last Name:STERGIOPOULOS
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 1:4353 193RD ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3439
Mailing Address - Country:US
Mailing Address - Phone:973-214-1170
Mailing Address - Fax:
Practice Address - Street 1:4353 193RD ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3439
Practice Address - Country:US
Practice Address - Phone:973-214-1170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital