NPI 1699255406

Michael Antonis Koullias

Practitioner Orthotist Brooklyn, NY

Practice location

Address: 1070 66th St, Brooklyn, NY 11219-5939
Phone: (646) 642-6269

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 4175 (NY)

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Registry record

NPI: 1699255406
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2018
Record last updated: 21 Aug 2018

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.