Individual
DR. NICHOLAS FOTIOS KAROUTSOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
22002 73RD AVE, OAKLAND GARDENS, NY 11364-2624
(718) 464-8870
(718) 464-8871
Mailing address
22002 73RD AVE, BAYSIDE, NY 11364-2624
(718) 464-8870
(718) 464-8870
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00271600
NJ
213E00000X
Podiatrist
Primary
N005842
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02264184
—
NY
01
—
4784080001
MEDICARE NSC
NY
05
—
9064907
—
NJ
Enumeration date
07/14/2006
Last updated
04/06/2011
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