Organization · Type 2 NPI

DR Paul Poulakos Do, LLC

Clinic/Center · New York, NY

NPI number 1104451525 Active

Practice location

412 6th Avenue, Floor 7, Suite 702
New York, NY 10011-4918

Call (917) 275-3625 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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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About NPI 1104451525

DR Paul Poulakos Do, LLC's National Provider Identifier is 1104451525, issued on Mar 5, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in New York, NY. The record was last updated on Jul 3, 2024.