# ALEXIA T. KOUDELLOU MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114934718
- **Authorized official:** ALEXIA THOMAS KOUDELLOU MD (OWNER)
- **Authorized official phone:** (718) 932-8767

## Contact information

- **Practice address:** 3275 STEINWAY ST, SUITE 206, ASTORIA, NY 11103-4046
- **Practice address phone:** (718) 932-8767
- **Practice address fax:** (718) 932-8768
- **Mailing address:** 3275 STEINWAY ST, SUITE 206, ASTORIA, NY 11103-4046
- **Mailing address phone:** (718) 932-8767
- **Mailing address fax:** (718) 932-8768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 230323 | NY | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 08/22/2020