Provider Demographics
NPI:1598059503
Name:VORKAS, CHARLES KYRIAKOS (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:KYRIAKOS
Last Name:VORKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 NICOLLS ROAD
Mailing Address - Street 2:HSC-16-060
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8153
Mailing Address - Country:US
Mailing Address - Phone:631-444-3490
Mailing Address - Fax:631-444-7518
Practice Address - Street 1:101 NICOLLS ROAD
Practice Address - Street 2:HSC-16-060
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8153
Practice Address - Country:US
Practice Address - Phone:631-444-3490
Practice Address - Fax:631-444-7518
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274003207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease