Individual
DANIELE J. KOUROUPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1414 VICTORY BOULEVARD, STATEN ISLAND, NY 10301
(718) 447-1261
(718) 981-1856
Mailing address
1414 VICTORY BOULEVARD, STATEN ISLAND, NY 10301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011309
NY
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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