ALEXIA T. KOUDELLOU MD, PC (NPI# 1114934718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114934718 |
| Entity Type | Organization |
| Organization Name | ALEXIA T. KOUDELLOU MD, PC |
| Practice Address |
3275 Steinway St Suite 206 Astoria NY 11103-4046 |
| Practice Telephone | 7189328767 |
| Practice Fax Number | 7189328768 |
| Mailing Telephone | 7189328767 |
| Mailing Fax Number | 7189328768 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALEXIA THOMAS KOUDELLOU (OWNER) |
| Authorized Official Telephone | 7189328767 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
230323 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3275 STEINWAY ST SUITE 206 |
| City | ASTORIA |
| State | NY |
| Zip Code | 11103-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346308921 | Zannis Angelidakis | Dentist | 3275 Steinway St, Astoria, NY 11103-4046 | 2006-12-05 |
| 1144390493 | Home Services Systems, Inc | Home Health | 3275 Steinway St, Suite 201, Astoria, NY 11103-4046 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1174132641 | Mohammed E Yousef | Physical Therapy Assistant | 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 | 2020-07-30 |
| 1588177448 | Jasna Koltovska | Counselor | 3063 38th St Ste B1, Astoria, NY 11103 | 2017-11-14 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1174986236 | Joyce Lynn Karpinski | Occupational Therapist | 25-95 45th St, Apt I, Astoria, NY 11103 | 2016-04-05 |
| 1306218847 | Leeat Perelmutter | Social Worker | 2847 34 Street, Apt 17, Astoria, NY 11103 | 2015-10-23 |
| 1740658723 | Cori Shahon | Specialist | 2569 49th Street, Astoria, NY 11103 | 2015-09-09 |
| 1245617539 | Alisa Neziraj | Registered Nurse | 3005 42nd Street, Astoria, NY 11103 | 2015-05-06 |
| 1912399189 | Brad Koegel | Case Manager/Care Coordinator | 30-46 35th Street, Astoria, NY 11103 | 2015-02-25 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| Find all providers in zip 11103 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013354141 | Cresent Endoscopy Center Inc | Internal Medicine | 2747 Cresecent St, Astoria, NY 11102-0000 | 2013-05-30 |
| 1932121456 | George Surla | Internal Medicine | 2325 31st St Ste 500, Astoria, NY 11105-2299 | 2006-07-24 |
| 1528025756 | Metropolitan Gastroenterology PC | Internal Medicine | 23-18 31st St, Ste 300, Astoria, NY 11105 | 2006-05-01 |
| 1932104494 | Nicholas Roditis | Internal Medicine | 2318 31st St, Astoria, NY 11105-2892 | 2005-06-20 |
| 1023317260 | Laila Menon | Internal Medicine | 2510 30th Ave, Astoria, NY 11102-2418 | 2011-03-25 |
| 1457408163 | Emanuel L. Kouroupos, M.d., P.C. | Internal Medicine | 2747 Crescent St, Suite 206, Astoria, NY 11102-3142 | 2007-01-04 |
| 1245341833 | Umeko Takeshige | Internal Medicine | 3117 41st St, Fl 1, Astoria, NY 11103-3901 | 2006-08-31 |
| 1558375584 | Greater New York Gastroenterology, LLP | Internal Medicine | 2325 31st St Ste 500, Astoria, NY 11105-2299 | 2006-07-27 |
| 1831138361 | Sabino Anthony Augello | Internal Medicine | 2318 31st St, Suite 300, Astoria, NY 11105-2892 | 2006-06-06 |
| 1447256508 | Barry S Obadiah | Internal Medicine | 2318 31st St, Astoria, NY 11105-2892 | 2005-06-23 |
| Find all providers in ASTORIA | ||||
Please comment or provide details below to improve the information on ALEXIA T. KOUDELLOU MD, PC.
| 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.