MR. Michael Antonis Koullias

NPI #1699255406 in Brooklyn, New York

Provider Information

NPI Number: 1699255406
Entity Type: Individual
Name: MR. Michael Antonis Koullias
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthotist
Enumeration Date: Aug 21, 2018
Last Updated: Aug 21, 2018

Practice Location

Address: 1070 66TH ST
City: Brooklyn
State: New York
ZIP Code: 11219-5939
Phone: (646) 642-6269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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