Individual
DR. SIMON G KOKKINAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2066 RICHMOND AVE, SUITE 1R, STATEN ISLAND, NY 10314-3916
(718) 477-9000
(718) 477-9012
Mailing address
2066 RICHMOND AVE, SUITE 1R, STATEN ISLAND, NY 10314-3916
(718) 477-9000
(718) 477-9012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
231835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02661943
—
NY
Enumeration date
06/06/2006
Last updated
03/26/2015
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