Kostas D Koutsoubis, PT | |
16214 45th Ave, Flushing, NY 11358-3109 | |
(718) 939-7171 | |
(718) 661-2057 |
Full Name | Kostas D Koutsoubis |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 16214 45th Ave, Flushing, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144439795 | NPI | - | NPPES |
QM7371 | Other | NY | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0220661 (New York) | Primary |
Provider Name | New York Physical Therapy Sports Rehabilitation,pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1306055959 PECOS PAC ID: 6002081452 Enrollment ID: O20111213000525 |
Mailing Address | Practice Location Address |
---|---|
Kostas D Koutsoubis, PT 16214 45th Ave, Flushing, NY 11358-3109 Ph: (718) 939-7171 | Kostas D Koutsoubis, PT 16214 45th Ave, Flushing, NY 11358-3109 Ph: (718) 939-7171 |
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