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Organization

KONSTANTINOS KOUTELOS, M.D. & IRINA KRYM PHYSICIAN, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KONSTANTINOS KOUTELOS M.D. (PARTNER)
(718) 759-0105
Entity
Organization

Contact information

Practice address
8401 FORT HAMILTON PKWY, BROOKLYN, NY 11209-4805
(718) 759-0105
(718) 759-0800
Mailing address
8401 FORT HAMILTON PKWY, BROOKLYN, NY 11209-4805
(718) 759-0105
(718) 759-0800

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01428293
NY
05
01793324
NY
05
01849825
NY
Enumeration date
10/02/2006
Last updated
09/05/2012
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