Provider Demographics
NPI:1245494368
Name:APAZIDIS, ALEXIOS (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXIOS
Middle Name:
Last Name:APAZIDIS
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 1:20001 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:NY
Mailing Address - Zip Code:11412-3223
Mailing Address - Country:US
Mailing Address - Phone:718-971-9300
Mailing Address - Fax:888-461-3253
Practice Address - Street 1:20001 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-3223
Practice Address - Country:US
Practice Address - Phone:718-971-9300
Practice Address - Fax:888-461-3253
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247904207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1245494368Medicare UPIN
NY1245607126Medicare UPIN
NYA400048228Medicare PIN