John W Contovasilis, MD
Internal Medicine in South Richmond Hill, NY. Individual provider (NPI-1).
NPI number1154374064
StatusActive
Last updated in NPPESOct 5, 2011
Details
- NPI
- 1154374064
- Entity type
- Individual (NPI-1)
- Name
- John W Contovasilis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 19, 2006
- Last updated
- Oct 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 182502 | NY | Yes |
Practice location
12506 101st AveSouth Richmond Hill, NY 11419-1412
Phone 718-849-2900 · Fax 718-943-2631
Mailing address
1000 Zeckendorf BlvdGarden City, NY 11530-2133
Phone 516-542-6880 · Fax 516-542-5556
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