Provider Demographics
NPI:1871750307
Name:STEFANIDES, PARASKEVAS (MD)
Entity type:Individual
Prefix:DR
First Name:PARASKEVAS
Middle Name:
Last Name:STEFANIDES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BROMPTON RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2704
Mailing Address - Country:US
Mailing Address - Phone:718-989-8515
Mailing Address - Fax:718-626-0102
Practice Address - Street 1:22215 NORTHERN BLVD STE LA
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3678
Practice Address - Country:US
Practice Address - Phone:718-989-8515
Practice Address - Fax:718-626-0102
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2490302081P2900X, 2081P2900X
UT870515631283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No283X00000XHospitalsRehabilitation Hospital