Individual provider · Type 1 NPI
Thomas N. Koutelos, INTERNAL MEDICINE
Specialist · Brooklyn, NY
NPI number
1679647465
Active
Practice location
25 Plaza St W Ste 1F, 421 78th Street Brooklyn Ny 11209
Brooklyn, NY 11217-3942
Fax (718) 622-0915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 19052 1 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1679647465
Thomas N. Koutelos, INTERNAL MEDICINE's National Provider Identifier is 1679647465, issued on Nov 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.