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Organization
KONSTANTINOS KOUTROS
Active
Organization
KONSTANTINOS KOUTROS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONSTANTINOS KOUTROS (OWNER)
(718) 283-8773
Entity
Organization
Contact information
Practice address
9101 4TH AVE, BROOKLYN, NY 11209-6368
(718) 283-8773
Mailing address
9101 4TH AVE, BROOKLYN, NY 11209-6368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NY
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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