Provider Demographics
NPI:1912599325
Name:KATEHIS, GIORGIOS (PHARMD)
Entity Type:Individual
Prefix:
First Name:GIORGIOS
Middle Name:
Last Name:KATEHIS
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 1:19 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-5228
Mailing Address - Country:US
Mailing Address - Phone:516-456-0384
Mailing Address - Fax:
Practice Address - Street 1:391 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3296
Practice Address - Country:US
Practice Address - Phone:631-549-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067496183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist