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Organization

DR. PAUL POULAKOS DO, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL POULAKOS DO (PHYSICIAN)
(850) 692-9355
Entity
Organization

Contact information

Practice address
412 6TH AVE FL 7, NEW YORK, NY 10011-8409
(850) 692-9355
(833) 337-2089
Mailing address
412 6TH AVE FL 7, NEW YORK, NY 10011-8409
(850) 692-9355
(833) 337-2089

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1558715383
NPI
NY
Enumeration date
06/20/2022
Last updated
01/31/2024
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