Organization
DR PAUL POULAKOS DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL POULAKOS DO (PHYSICIAN)
(917) 275-3625
Entity
Organization
Contact information
Practice address
412 6TH AVENUE, FLOOR 7, SUITE 702, NEW YORK, NY 10011-4918
(917) 275-3625
Mailing address
412 6TH AVENUE, FLOOR 7, SUITE 702, NEW YORK, NY 10011-4918
(917) 275-3625
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
07/03/2024
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