# SIMON G. KOKKINAKIS, M.D., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Ob/Gyn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972929362
- **Authorized official:** DR. SIMON GEORGE KOKKINAKIS M.D. (MEMBER/OPERATING MANAGER)
- **Authorized official phone:** (718) 477-9000

## Contact information

- **Practice address:** 2066 RICHMOND AVE, SUITE 1R, STATEN ISLAND, NY 10314-3916
- **Practice address phone:** (718) 477-9000
- **Practice address fax:** (718) 477-9012
- **Mailing address:** 2066 RICHMOND AVE, SUITE 1R, STATEN ISLAND, NY 10314-3916
- **Mailing address phone:** (718) 477-9000
- **Mailing address fax:** (718) 477-9012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 231835 | NY | Yes |

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 03/26/2015