Individual provider · Type 1 NPI

Keith Kouroupos, PA-C

Medical Physician Assistant · Staten Island, NY

NPI number 1245306174 Active

Practice location

501 Seaview Ave
Staten Island, NY 10305

Call (718) 226-5700 Map

Other practice locations

  • 305 Seguine Ave, Richmond Primary Care, Staten Island, NY 10309-3730 · (718) 967-8300

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X010650 (NY)
Medical Physician Assistant 363AM0700X25MP00143300 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1245306174

Keith Kouroupos, PA-C's National Provider Identifier is 1245306174, issued on Nov 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Staten Island, NY. The record was last updated on Sep 22, 2019.