# NICHOLAS C. KALOUDIS M.D. PLLC

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

## Provider details

- **NPI number:** 1457539512
- **Authorized official:** NICHOLAS KALOUDIS (SOLE OWNER)
- **Authorized official phone:** (718) 224-3138

## Contact information

- **Practice address:** 4401 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-3002
- **Practice address phone:** (718) 224-3138
- **Practice address fax:** (718) 717-0275
- **Mailing address:** 4401 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-3002
- **Mailing address phone:** (718) 224-3138
- **Mailing address fax:** (718) 717-0275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 234166 | NY | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 07/25/2012