Lee Avramidis, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

149472 Issued in NY

Legal business name

LEE AVRAMIDIS, MD

Practice address

1656 Champlin Ave
Utica, NY 13502-4830

Phone

(315) 732-1191

Fax

(315) 732-1193

NPI assigned

Mar 12, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lee Avramidis, MD

Title

Pediatrician

Phone

(315) 732-1191

Specialties & licenses 1

Addresses

Other identifiers 4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1578838462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-732-1191",
            "fax_number": "315-732-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-732-1191",
            "fax_number": "315-732-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE AVRAMIDIS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "AVRAMIDIS",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "315-732-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "149472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CD/PHP",
            "identifier": "110036833002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669465977",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "265016",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0006142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Huang Le, DDS
• Kathy Ann Leach, FNP
• Nancy Theodocia Leach, LPN
• Erik Leao
• Felicia Amy Ledda, RPH
• Janice C Lee, DMD
• Rachel Lee
• Renee Lee, OT
• Samantha Lee
• Tiffany Chih Lee

• Pediatric Adolescent Medicine Physician in Utica, NY
• Providers in Utica, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.