Constantina Tsitlakidis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

228515 Issued in NY

Practice address

4110 Ditmars Blvd
Astoria, NY 11105-1432

Phone

(718) 726-6527

NPI assigned

Jun 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710184932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41- 10 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "718-726-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051432",
            "telephone_number": "718-726-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSITLAKIDIS",
        "first_name": "CONSTANTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "228515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02495307",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Tsang, PA
• Marshall Tse, MD
• Rachel Tseng
• George John Tsioulias, M.D.
• Catherine Tsiris, PH.D.
• Joanna Tsitsipatis, PHARM D
• Eleni Tsola, MS, RDN, CDN
• Maria Tsoukias
• Paula Tsourapis, MSED
• Ilona Tsybulskiy, SLP

• Internal Medicine Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.