Individual
DR. IAKOVOS KOUTRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 947-7000
Mailing address
10 BAYVIEW DR, HAMPTON BAYS, NY 11946-2721
(917) 273-7773
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
233093
NY
Other
Enumeration date
04/02/2008
Last updated
11/19/2010
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