Individual
EMANUEL COULIANIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3207 30TH AVE, ASTORIA, NY 11102-1563
(929) 492-4158
Mailing address
3207 30TH AVE, ASTORIA, NY 11102-1563
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P143413
NY
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/17/2026
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