Organization
GEORGE KAKOULIDES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE KAKOULIDES MD (DIRECT OWNER)
(631) 422-5371
Entity
Organization
Contact information
Practice address
380 MONTAUK HWY, WEST ISLIP, NY 11795-4403
(631) 422-5371
(631) 893-8012
Mailing address
380 MONTAUK HWY, WEST ISLIP, NY 11795-4403
(631) 422-5371
(631) 893-8012
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
275213
NY
Other
Enumeration date
08/23/2017
Last updated
01/20/2022
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