Dr Chris Koultukis, DC, LAC | |
315 W 57th St, Suite 308, New York, NY 10019-3158 | |
(212) 580-2900 | |
(212) 265-0217 |
Full Name | Dr Chris Koultukis |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 39 Years |
Location | 315 W 57th St, New York, New York |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194866467 | NPI | - | NPPES |
001046 | Other | NY | ACUPUNCTURE LICIENCE |
X004361-1 | Other | NY | CHIROPRACTIC LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | X004361-1 (New York) | Primary |
171100000X | Acupuncturist | 001046 (New York) | Secondary |
Provider Name | Chris Koultukis Dc Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013222306 PECOS PAC ID: 5294929659 Enrollment ID: O20101029000324 |
Mailing Address | Practice Location Address |
---|---|
Dr Chris Koultukis, DC, LAC 315 W 57th St, Suite 308, New York, NY 10019-3158 Ph: (212) 580-2900 | Dr Chris Koultukis, DC, LAC 315 W 57th St, Suite 308, New York, NY 10019-3158 Ph: (212) 580-2900 |
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