Provider Demographics
NPI:1861652653
Name:XIPOLEAS, GEORGE DIMITRIOS (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:DIMITRIOS
Last Name:XIPOLEAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:999 FRANKLIN AVENUE
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530
Mailing Address - Country:US
Mailing Address - Phone:516-742-3404
Mailing Address - Fax:516-742-4716
Practice Address - Street 1:999 FRANKLIN AVENUE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530
Practice Address - Country:US
Practice Address - Phone:516-742-3404
Practice Address - Fax:516-742-4716
Is Sole Proprietor?:No
Enumeration Date:2008-06-15
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2487092086S0122X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery