Basic Information
| Provider Information | |||||||||
| NPI: | 1306132683 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AVLONITIS | ||||||||
| FirstName: | VASSILIOS | ||||||||
| MiddleName: | SPIRIDON | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 306 E 96TH ST | ||||||||
| Address2: | APT. 17E | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 101283839 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9173249445 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1190 5TH AVE | ||||||||
| Address2: | CARDIOTHORACIC DEPARTMENT | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100296503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122416500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2011 | ||||||||
| LastUpdateDate: | 06/24/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | P79852 | NY | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.