LEE AVRAMIDIS MD NPI 1578838462

NPI Information

NPI: 1578838462
Provider Name: LEE AVRAMIDIS, MD
Classification: Pediatrics - 2080A0000X
Specialization: Adolescent Medicine
Entity Type: Organization
Address: 1656 CHAMPLIN AVE
UTICA, NY
ZIP 13502
Phone: (315) 732-1191

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NPI Details

LEE AVRAMIDIS, MD is an adolescent medicine pediatrics in Utica, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. LEE AVRAMIDIS, MD NPI is 1578838462. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1656 CHAMPLIN AVE
UTICA, NY
ZIP 13502-830
Phone: (315) 732-1191
Fax: (315) 732-1193

The provider's authorized official is Lee Avramidis .
The authorized official title is Pediatrician and has the following contact phone number (315) 732-1191.

The enumeration date for this NPI number is 3/12/2012 and was last updated on 3/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	149472	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0006142	OTHER	NEW YORK	GHI
2	265016	OTHER	NEW YORK	MVP
3	1669465977	MEDICAID	NEW YORK
4	110036833002	OTHER	NEW YORK	CD/PHP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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