Doctor Name: | DR. JOHN VLATTAS |
NPI Number: | 1063414852 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 195684 |
Business Practice Address: | 21316 39th Ave Bayside, NY - 113612045 |
Business Phone Number: | 7182297800 |
Business Fax Number: | 7182797470 |
Mailing Address: | 21316 39th Ave, BAYSIDE |
State: | NY |
Postal Code: | 113612045 |
Phone Number: | 7182297800 |
Fax Number: | 7182797470 |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 08/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2081P2900X |
License Number: | 195684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Physical Medicine & Rehabilitation |
Taxonomy Specialization: | Pain Medicine |
Taxonomy Definition: | A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |