Individual
DR. ARISTIDES KOUTSOUBIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
56 THE CIR, EAST HAMPTON, NY 11937-2725
(844) 735-8863
Mailing address
2017 BODANYI PL, RONKONKOMA, NY 11779-6531
(631) 576-7902
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063408
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2022
Last updated
08/23/2023
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