| Dr Paul Poulakos Do, Llc | |
|
412 6th Avenue Floor 7, Suite 702 New York NY 10011-4918 | |
| (917) 275-3625 | |
| Not Available |
| Full Name | Dr Paul Poulakos Do, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 412 6th Avenue, New York, New York |
| Authorized Official Name and Position | Paul Poulakos (PHYSICIAN) |
| Authorized Official Contact | 9172753625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Poulakos Do, Llc 412 6th Avenue Floor 7, Suite 702 New York NY 10011-4918 Ph: (917) 275-3625 | Dr Paul Poulakos Do, Llc 412 6th Avenue Floor 7, Suite 702 New York NY 10011-4918 Ph: (917) 275-3625 |
| NPI Number | 1104451525 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104451525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
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Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |