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Organization
DIMIRTIOS KOSTOPOULOS PTPC
Active
Organization
DIMIRTIOS KOSTOPOULOS PTPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRIOS KOSTOPOULOS PT PHD DSC (OWNER)
(718) 707-6970
Entity
Organization
Contact information
Practice address
3244 31ST ST, ASTORIA, NY 11106-2644
(718) 707-6970
(718) 732-2864
Mailing address
3244 31ST ST, ASTORIA, NY 11106-2644
(718) 707-6970
(718) 732-2864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011188-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G100000062
PTAN
NY
Enumeration date
06/03/2008
Last updated
10/01/2013
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