Provider Demographics
NPI:1891258349
Name:EMPIRE NY ORTHOPEDICS PC
Entity Type:Organization
Organization Name:EMPIRE NY ORTHOPEDICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NEOFITOS
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFANIDES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-989-8515
Mailing Address - Street 1:100 BROMPTON RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2704
Mailing Address - Country:US
Mailing Address - Phone:718-989-8515
Mailing Address - Fax:718-626-0102
Practice Address - Street 1:22215 NORTHERN BLVD STE LOBBYA
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3678
Practice Address - Country:US
Practice Address - Phone:718-989-8515
Practice Address - Fax:718-626-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty