Doctor Name: | ANDREW SPIROS DORIZAS |
NPI Number: | 1336506260 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 8207 Main St #14 Williamsville, NY - 142216060 |
Business Phone Number: | 7162048730 |
Business Fax Number: | |
Mailing Address: | 875 Ellicott St, Ctrc, Rm 6080 BUFFALO |
State: | NY |
Postal Code: | 142031070 |
Phone Number: | 7166458990 |
Fax Number: | 7167108100 |
NPI Enumeration Date: | 01/22/2016 |
NPI Last Update Date: | 01/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |