Individual
DR. ATHENA KABOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
29 N AIRMONT RD STE 202, SUFFERN, NY 10901-4221
(845) 369-3703
Mailing address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(212) 423-4400
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061547-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2019
Last updated
05/08/2025
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