PEDRO KOURTESIS (NPI# 1417999806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417999806 |
| Entity Type | Individual |
| Full Name | PEDRO KOURTESIS |
| Credential | MD |
| Practice Address |
2510 30th Ave Astoria NY 11102 |
| Mailing Address |
2510 30th Ave Astoria NY 11102-2448 |
| Practice Telephone | 7186069965 |
| Mailing Telephone | 7186069965 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2018-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
127000 | NY | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
127000 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00250220 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2802 Crescent St, Astoria, NY 111023141 | 7186069965 |
| Street Address |
2510 30TH AVE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042012 | Joshua Guevarra | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2418 | 2020-10-30 |
| 1003454117 | Kamilia Ait Belkacem | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2448 | 2019-12-19 |
| 1457999617 | Laura Mackey | Nurse Practitioner | 2510 30th Ave, Astoria, NY 11102-2448 | 2019-12-18 |
| 1114565462 | Jaclyn Cusumano | Pharmacist | 2510 30th Ave, Astoria, NY 11102-2448 | 2019-12-17 |
| 1104476738 | Gabriel Eugene Spencer | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2418 | 2019-09-16 |
| 1073162269 | Amy Xu | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2448 | 2019-09-10 |
| 1912551235 | Ashley Marie Chowdhury | Nurse Practitioner | 2510 30th Ave, Astoria, NY 11102-2448 | 2019-07-25 |
| 1457811630 | Yoohyun Kim | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2418 | 2019-03-22 |
| 1134691637 | Kerstin Connaire | Nurse Practitioner | 2510 30th Ave, Astoria, NY 11102-2448 | 2018-12-20 |
| 1508334111 | Trishanna Yankannah | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2448 | 2018-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1609381458 | Interboro Heart & Vascular Pllc | Internal Medicine | 4802 25th Ave Ste 110, Astoria, NY 11103-1025 | 2017-12-01 |
| 1316094014 | Andrew Cambitsis, M.d., P.C. | Internal Medicine | 2241 33rd St, Astoria, NY 11105-2402 | 2007-01-04 |
| 1558471912 | Margarita C Pascual | Internal Medicine | 2552 Steinway St, Astoria, NY 11103-3777 | 2006-08-30 |
| 1275540767 | Emmanuel Frank Troulakis | Internal Medicine | 3018 37th St, Emmanuel F Troulakis Md, Astoria, NY 11103-3809 | 2006-08-01 |
| 1316981418 | Dino Belletti | Internal Medicine | 4320 21st Ave, Astoria, NY 11105-1326 | 2006-06-16 |
| 1689616484 | Ho-mau Liu | Internal Medicine | 3714 21st Ave, Astoria, NY 11105-1839 | 2006-06-13 |
| 1871565242 | Myo Maw | Internal Medicine | 3180 41st St, Astoria, NY 11103-3902 | 2006-02-01 |
| 1487624185 | Andrew Cambitsis | Internal Medicine | 22 41 33rd Street, Astoria, NY 11105 | 2006-01-25 |
| 1407855075 | Constantine Kosmas | Internal Medicine | 30-16 30th Drive, Astoria, NY 11102 | 2005-07-18 |
| 1568089902 | Gagos Cardiovascular Medicine Pllc | Internal Medicine | 2747 Crescent St Ste 104, Astoria, NY 11102-3142 | 2020-07-01 |
| Find all providers in ASTORIA | ||||
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| 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.