Individual
MRS. FOULA CHRISSY KONTONICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(576) 632-3935
(576) 336-2987
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(576) 632-3935
(576) 336-2987
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
284723
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2010
Last updated
11/16/2016
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