Individual provider · NPI-1

Christina Athanasiou

Internal Medicine · Mineola, NY

NPI number1952740706
StatusActive
Last updated in NPPESJun 28, 2023

Details

NPI
1952740706
Entity type
Individual (NPI-1)
Name
Christina Athanasiou
Sex
Female
Sole proprietor
No
Enumeration date
Jun 14, 2013
Last updated
Jun 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine286201NYYes

Practice location

259 1st St
Mineola, NY 11501-3957

Phone 516-663-8963

Mailing address

259 1st St
Mineola, NY 11501-3957

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