Organization
ALEXIA T. KOUDELLOU MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIA THOMAS KOUDELLOU MD (OWNER)
(718) 932-8767
Entity
Organization
Contact information
Practice address
3275 STEINWAY ST, SUITE 206, ASTORIA, NY 11103-4046
(718) 932-8767
(718) 932-8768
Mailing address
3275 STEINWAY ST, SUITE 206, ASTORIA, NY 11103-4046
(718) 932-8767
(718) 932-8768
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
230323
NY
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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