Provider Demographics
NPI:1750540563
Name:AVGERINOS, DIMITRIOS VASILEIOS (MD)
Entity type:Individual
Prefix:DR
First Name:DIMITRIOS
Middle Name:VASILEIOS
Last Name:AVGERINOS
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 1:40 WATERSIDE PLZ
Mailing Address - Street 2:SUITE 21H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2631
Mailing Address - Country:US
Mailing Address - Phone:646-861-1380
Mailing Address - Fax:
Practice Address - Street 1:1ST AVENUE AT 16TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-428-4340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist