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Contact Information

XENOPHON P XENOPHONTOS, MD
231 WASHINGTON AVE
GARDEN CITY, NY11530-1882
 Phone: 516-227-2721
 Fax: 516-227-0564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for XENOPHON P XENOPHONTOS · (Male)

NPI Number 1790735991
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2006
Last updated 09/20/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 192415
  • NY Medicaid 01609838
  • Other 020031357 RR MEDICARE PIN
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    1000 NORTH VILLAGE AVENUE
    ROCKVILLE CENTRE, NY 11570
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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