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Michael Koullias
NPI 1699255406 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1070 66th St
Brooklyn, NY 11219 - Phone
- (646) 642-6269
Registry record
- Primary taxonomy
- 222Z00000X
222Z00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York