Provider Demographics
NPI:1679195077
Name:NEW YORK RHEUMATOLOGY CARE, PC
Entity Type:Organization
Organization Name:NEW YORK RHEUMATOLOGY CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETROS
Authorized Official - Middle Name:
Authorized Official - Last Name:EFTHIMIOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-719-0602
Mailing Address - Street 1:215 E 68TH ST OFC 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-5718
Mailing Address - Country:US
Mailing Address - Phone:646-719-0602
Mailing Address - Fax:888-325-1761
Practice Address - Street 1:1020 PARK AVE FL 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0913
Practice Address - Country:US
Practice Address - Phone:646-719-0602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-08
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty