Guy Anthony Koutouvidis (NPI# 1609941814, PAC ID# 5799972238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1609941814 |
PAC ID by PECOS | 5799972238 |
Professional Enrollment ID | I20101209000177 |
Full Name | Guy Anthony Koutouvidis |
Address |
14 E Broadway Suite 2 Port Jefferson NY 11777-1400 |
Phone Number | 6316429525 |
Gender | M |
Graduation Year | 1992 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
14 E Broadway, Suite 2, Port Jefferson, NY 11777-1400 | 6316429525 |
Street Address |
14 E BROADWAY SUITE 2 |
City | PORT JEFFERSON |
State | NY |
Zip | 11777-1400 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marguerite F Metzendorf | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
Dorothy M Lilly | Clinical Social Worker | 14 E Broadway, Suite 3, Port Jefferson, NY 11777-1400 | |
Sharon Lyn Zariello | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrea S Coladner | Physical Medicine and Rehabilitation | 6 Cove Ln, Port Jefferson, NY 11777-1103 | |
Toni Derman | Clinical Social Worker | 33 Landing Lane, Port Jefferson, NY 11777-1106 | |
Gabrielle Lofaso | Psychologist, Clinical | 20 Crooked Oak Rd, Port Jefferson, NY 11777-1120 | |
Ronald Fein | Clinical Social Worker | 19 Waterview Dr, Port Jefferson, NY 11777-1169 | |
Constance E Schoenberg | Psychologist, Clinical | 201 E Broadway, Port Jefferson, NY 11777-1248 | |
Susan Prechtl-loper | Physical Therapy | 117 Oakwood Rd, Port Jefferson, NY 11777-1422 | |
Elayne J King | Psychologist, Clinical | 7 Watersedge Way, Port Jefferson, NY 11777-1435 | |
Abby Leefer | Clinical Social Worker | 35 Puritan Path, Port Jefferson, NY 11777-1456 | |
Jennifer A Flynn-campbell | Psychologist, Clinical | 112 Glenwood Ln, Port Jefferson, NY 11777-1505 | |
Susan H Berg | Clinical Social Worker | 105 Whittier Pl, Port Jefferson, NY 11777-1619 | |
Find all physicians in zip 11777 |
City | PORT JEFFERSON |
Zip Code | 11777 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | PORT JEFFERSON + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.