Individual
MR. CHRISTOPHER KOULOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 MARCUS AVE STE 102, NEW HYDE PARK, NY 11042-1008
(516) 622-6040
Mailing address
4703 HANFORD ST, DOUGLASTON, NY 11362-1033
(516) 717-5211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032629
NY
Other
Enumeration date
09/26/2024
Last updated
03/13/2025
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