Individual
MR. DIMITRI J KOUMANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13 CHESTER STREET, GLENS FALLS, NY 12801-4432
(518) 203-2593
(518) 314-0701
Mailing address
13 CHESTER STREET, GLENS FALLS, NY 12801-4432
(518) 203-2593
(518) 314-0701
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
256948
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
002733
NY
Other
Enumeration date
10/31/2006
Last updated
02/25/2016
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