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Dr. George Vasiliadis, DPM
Podiatrist in Tonawanda, New York
NPI 1376518548

George Vasiliadis is a Podiatrist based in Tonawanda, NY. George Vasiliadis practices in Tonawanda, NY and has the professional credentials of DPM. The NPI Number for George Vasiliadis is 1376518548 and holds a License No. N004647 (New York).

The current practice location address for George Vasiliadis is 190 Main St, Tonawanda, NY and can be reached out via phone at 716-693-1050 and via fax at 716-693-1240.

Location: 190 Main St, Tonawanda, NY, 14150-3334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376518548
Provider Name
George Vasiliadis
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
190 Main St, Tonawanda, NY, 14150-3334
Phone Number
716-693-1050
Fax Number
716-693-1240
Provider Enumeration Date
02/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0076008 01 NY GROUP HEALTH
01195573 05 NY
8990088 01 NY INDEPENDENT HEALTH
Y017440 01 NY TRICARE/ CHAMPUS
040426002701 01 NY FIDELIS CARE
00010257301 01 NY UNIVERA HEALTHCARE
000510938003 01 NY BC/ BS OF WNY
institution
Provider Business Practice Location Address Details
Address
190 Main St
City
Tonawanda
State
New York
Zip
14150-3334
Phone Number
716-693-1050
Fax Number
716-693-1240
person
Provider Business Mailing Address Details
Address
190 Main St
City
Tonawanda
State
New York
Zip
14150-3334
Phone Number
716-693-1050
Fax Number
716-693-1240
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
N004647 (New York)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Public Medicine
Taxonomy
213EP0504X
License No.
N004647 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
N004647 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
N004647 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
N004647 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
N004647 (New York)
Definition
Definition to come...
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