Individual
DR. DEMETRI ALEXANDER KOUTSOSPYROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST DEPT OF, BRONX, NY 10467-2401
(718) 920-6423
(718) 881-2245
Mailing address
111 E 210TH ST, BRONX, NY 10467, SAMANTHA RAWANA, DEPARTMENT OF ANESTHESIOLOGY, BRONX, NY 10467-2401
(718) 920-6423
(718) 881-2245
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
287315
NY
208VP0000X
Pain Medicine Physician
Primary
287315
NY
Other
Enumeration date
06/14/2013
Last updated
07/21/2022
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