MR. GEORGE ATHANASATOS (NPI# 1720340490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720340490 |
| Entity Type | Individual |
| Full Name | MR. GEORGE ATHANASATOS |
| Credential | M.D. |
| Practice Address |
300 Community Dr Manhasset NY 11030 |
| Mailing Address |
15031 12th Ave Apt 104 Whitestone NY 11357-1857 |
| Practice Telephone | 2013032327 |
| Mailing Telephone | 2013032327 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2018-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
294220 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 193460 | NC | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT202269 | PA | Student, Health Care |
| Street Address |
300 COMMUNITY DR |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659777 | Rudy Neptune | Anesthesiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2005-06-15 |
| 1013518935 | Vikram Gajulapalli | Pharmacist | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-11-06 |
| 1568062396 | Caroline Smolenski | Nurse Anesthetist, Certified Registered | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-10-30 |
| 1265031256 | James Jiwon Song | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-10-20 |
| 1437757739 | Andy Sunwoo Lim | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-10-09 |
| 1548867450 | Shiva Moshtagh | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-10-04 |
| 1457968943 | Bryanna Colleen Kelly | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-28 |
| 1902412463 | Tara Shelley | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-09-21 |
| 1548875644 | Julius E Wilson Jr. | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-15 |
| 1114532215 | Sarah Iqbal | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275820003 | Mustafa Al-roubaie | Radiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2011-06-30 |
| 1851419717 | Eric Gandras | Radiology | Nsuh-dept of Radiology, 300 Community Drive, Manhasset, NY 11030 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632039 | Radiance Medicine LLC | Radiology | 95 Norman Ave, Brooklyn, NY 11222-2937 | 2020-09-08 |
| 1174083828 | Mark Medical Care Queens Pllc | Radiology | 6405 Woodside Ave, Woodside, NY 11377-3654 | 2019-03-20 |
| 1962917492 | Israel Schur Md Pllc | Radiology | 202 Centre St Fl 5, New York, NY 10013-3613 | 2017-12-06 |
| 1659897775 | 9909 Medical | Radiology | 2515 Crescent St Ste 1, Astoria, NY 11102-4370 | 2017-08-21 |
| 1104357896 | Paramount Diagnostics LLC | Radiology | 201 Irving Pl, Woodmere, NY 11598-1639 | 2017-03-23 |
| 1881009926 | Dennis Cummings | Radiology | 450 Clarkson Ave., Box 1262, Department Suny Downstate Medical Center, Brooklyn, NY 11203-1262 | 2014-06-27 |
| 1699192815 | Amir Noor | Radiology | 240 E 86th St Apt Phb, New York, NY 10028-3000 | 2014-03-26 |
| 1689014987 | Advanced Access Medical Care, Pllc | Radiology | 1733 Eastchester Rd, Bronx, NY 10461-2315 | 2013-07-01 |
| 1851739601 | Vascular Interventional Services | Radiology | 6335 Transit Rd, Depew, NY 14043-1030 | 2013-06-13 |
| 1437406238 | Arbabzadeh Massoud Physician, PC | Radiology | 2809 Wehrle Dr Ste 13, Williamsville, NY 14221-7385 | 2012-08-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.