Individual
PHILIP POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
125 COUNTRY RIDGE DR, RYE BROOK, NY 10573-1043
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
188941
NY
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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