DR PAUL POULAKOS DO, LLC


Address: 186 9th Ave Apt 4f, New York, NY 10011-4918
Phone: 8477724206

DR PAUL POULAKOS DO, LLC (NPI# 1104451525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104451525
Entity Type Organization
Organization Name DR PAUL POULAKOS DO, LLC
Practice Address 186 9th Ave Apt 4f
New York
NY 10011-4918
Practice Telephone 8477724206
Mailing Telephone 8477724206
Enumeration Date 2020-03-05
Last Update Date 2020-03-05
Authorized Official Name DR. PAUL POULAKOS (PHYSICIAN)
Authorized Official Telephone 8477724206
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 186 9TH AVE APT 4F
City NEW YORK
State NY
Zip Code 10011-4918

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City NEW YORK
Zip Code 10011

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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