| Organization Name: | GEORGE VASILIADIS |
| NPI Number: | 1710162276 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE VASILIADIS (OWNER) |
| Mailing Address: | 190 Main St Tonawanda |
| State: | NY US |
| Postal Code: | 141503334 |
| Phone Number: | 7166931050 |
| Fax Number: | 7166931240 |
| NPI Enumeration Date: | 01/03/2008 |
| NPI Last Update Date: | 05/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | N004647 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |