Individual
KALLIOPI FOUNTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 MERRICK AVE, EAST MEADOW, NY 11554-3703
(516) 794-7969
Mailing address
611 MERRICK AVE, EAST MEADOW, NY 11554-3703
(516) 794-7969
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA11456400
NJ
208000000X
Pediatrics Physician
Primary
321415-01
NY
Other
Enumeration date
04/17/2019
Last updated
04/29/2025
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