Provider Demographics
NPI:1902110166
Name:ARGYRIOU, ANTIGONE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTIGONE
Middle Name:
Last Name:ARGYRIOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-3620
Mailing Address - Country:US
Mailing Address - Phone:631-666-3939
Mailing Address - Fax:631-666-3951
Practice Address - Street 1:712 MAIN ST
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-3620
Practice Address - Country:US
Practice Address - Phone:631-666-3939
Practice Address - Fax:631-666-3951
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY279658208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine