Provider Demographics
NPI:1669623724
Name:PAPAFRAGKOU, SOTIRIOS (MD)
Entity type:Individual
Prefix:
First Name:SOTIRIOS
Middle Name:
Last Name:PAPAFRAGKOU
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 1:216 WILLIS AVE
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2125
Mailing Address - Country:US
Mailing Address - Phone:516-714-5430
Mailing Address - Fax:
Practice Address - Street 1:216 WILLIS AVE STE 102
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2125
Practice Address - Country:US
Practice Address - Phone:516-714-5430
Practice Address - Fax:516-517-0303
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01080002A2086S0105X, 208600000X
NY269649208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
No208600000XAllopathic & Osteopathic PhysiciansSurgery