Provider Demographics
NPI:1245392687
Name:PAPAIOANNOU, NICHOLAOS B (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAOS
Middle Name:B
Last Name:PAPAIOANNOU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 28TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-3402
Mailing Address - Country:US
Mailing Address - Phone:718-956-8436
Mailing Address - Fax:718-956-8436
Practice Address - Street 1:2307 ASTORIA BLVD
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2942
Practice Address - Country:US
Practice Address - Phone:718-545-2550
Practice Address - Fax:718-545-2555
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049338183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist