National Provider Identifier
George Vasiliadis, D.P.M.
George Vasiliadis, D.P.M. is listed in the NPPES registry with a primary specialty of Podiatrist in Tonawanda, NY and a listed phone number of (716) 693-1050.
Profile Overview
- NPI
- 1376518548
- Provider Type
- Individual
- Primary Specialty
- Podiatrist
- Enumeration Date
- February 21, 2006
- Last Updated
- October 18, 2010
Practice Location
- 190 Main St
- Tonawanda, NY 14150-3334
Phone: (716) 693-1050
Specialties
- Podiatrist (213E00000X)
- Foot Surgery Podiatrist (213ES0131X)
- Primary Podiatric Medicine Podiatrist (213EP1101X)
- Public Medicine Podiatrist (213EP0504X)
- Radiology Podiatrist (213ER0200X)
- Sports Medicine Podiatrist (213ES0000X)
Full Record
- NPI
- 1376518548
- Entity Type
- Individual
- Last Name
- Vasiliadis
- First Name
- George
- Name Prefix
- Dr.
- Credential
- D.P.M.
- Mailing Street Address
- 190 Main St
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-3334
- Mailing Country
- US
- Mailing Phone
- (716) 693-1050
- Mailing Fax
- (716) 693-1240
- Practice Street Address
- 190 Main St
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-3334
- Practice Country
- US
- Practice Phone
- (716) 693-1050
- Practice Fax
- (716) 693-1240
- Enumeration Date
- February 21, 2006
- Last Updated
- October 18, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Podiatrist (213E00000X), Foot Surgery Podiatrist (213ES0131X), Primary Podiatric Medicine Podiatrist (213EP1101X), Public Medicine Podiatrist (213EP0504X), Radiology Podiatrist (213ER0200X), Sports Medicine Podiatrist (213ES0000X)
- Other Identifiers
- 0076008 (NY, Group Health), 01195573 (NY), 8990088 (NY, Independent Health), Y017440 (NY, Tricare/ Champus), 040426002701 (NY, Fidelis Care), 00010257301 (NY, Univera Healthcare), 000510938003 (NY, Bc/ Bs Of Wny)