Whalio Doctors

NPI 1003992926

Dimitri J Koumanis, MD

Practitioner Plastic Surgery Physician Glens Falls, NY

Practice location

Address
13 Chester Street, Glens Falls, NY 12801-4432
Phone
(518) 203-2593
Fax
(518) 314-0701

Registered specialties (2)

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 256948 (NY)
Plastic and Reconstructive Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 002733 (NY)

Registry record

NPI
1003992926
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Oct 2006
Record last updated
25 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.