Individual
PEDRO KOURTESIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2510 30TH AVE, ASTORIA, NY 11102
(718) 606-9965
Mailing address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 606-9965
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
127000
NY
207UN0901X
Nuclear Cardiology Physician
127000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00250220
—
NY
Enumeration date
06/12/2006
Last updated
10/25/2018
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