Provider Demographics
NPI:1245971183
Name:LYKOS, ALEXANDROS SPYRIDON
Entity type:Individual
Prefix:
First Name:ALEXANDROS
Middle Name:SPYRIDON
Last Name:LYKOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PARALIAKI PORTO HELI KOSTA
Mailing Address - Street 2:
Mailing Address - City:PORTO HELI
Mailing Address - State:ARGOLIDAS
Mailing Address - Zip Code:21300
Mailing Address - Country:GR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4500 PARSONS BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2205
Practice Address - Country:US
Practice Address - Phone:697-473-6797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program