Individual
MAGDALINI KOUROUNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(212) 423-6375
Mailing address
700 W 180TH ST APT 66, NEW YORK, NY 10033-5620
(646) 369-6776
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012256
NY
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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