Individual
MARIA KOULOUMBINIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20931 42ND AVE, BAYSIDE, NY 11361-2700
(347) 235-4010
Mailing address
20931 42ND AVE, BAYSIDE, NY 11361-2700
(347) 235-4010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F306853-1
NY
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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