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Search › New York › 208100000X

Evangeline Koutalianos, MD

NPI 1780090035 · on the registry since 2014 · sole proprietor

Practice

Address
750 E Adams St
Syracuse, NY 13210
Phone
(315) 464-5820
Organisation at this address
Suny Upstate
Upstate Urology, Inc.
Upstate Medical Center
Pediatric Service Group
Upstate Medical University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,244

Registry record

Primary taxonomy
208100000X
208100000X
Also registered as
2081P2900X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-13

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