| Alexia T. Koudellou MD, PC | |
|
3275 Steinway St Suite 206 Astoria NY 11103-4046 | |
| (718) 932-8767 | |
| (718) 932-8768 |
| Full Name | Alexia T. Koudellou MD, PC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3275 Steinway St, Astoria, New York |
| Authorized Official Name and Position | Alexia Thomas Koudellou (OWNER) |
| Authorized Official Contact | 7189328767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexia T. Koudellou MD, PC 3275 Steinway St Suite 206 Astoria NY 11103-4046 Ph: (718) 932-8767 | Alexia T. Koudellou MD, PC 3275 Steinway St Suite 206 Astoria NY 11103-4046 Ph: (718) 932-8767 |
| NPI Number | 1114934718 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114934718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 230323 (New York) | Primary |
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