Provider Demographics
NPI:1386876035
Name:ANDRIOPOULOS, GEORGE S (CPHT)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:S
Last Name:ANDRIOPOULOS
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 UNIVERSITY PL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4504
Mailing Address - Country:US
Mailing Address - Phone:212-473-0277
Mailing Address - Fax:212-614-6633
Practice Address - Street 1:74 UNIVERSITY PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4504
Practice Address - Country:US
Practice Address - Phone:212-473-0277
Practice Address - Fax:212-614-6633
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-13
Last Update Date:2010-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY360101060759810183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician