Provider Information for 1619338639
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AIKATERINI KOULIAKI
Sex: Female
NPI: 1619338639
Last Updated: 2024-03-01
Certification Date: 2024-03-01
Certification Date: 2024-03-01
Details
Name | Value | ||||||||||||
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NPI | 1619338639 | ||||||||||||
Enumeration Date | 2016-03-18 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 708 SAW MILL RIVER RD APT 1C ARDSLEY, NY 10502-1817 United States Phone: 646-531-5904 | Fax: | ||||||||||||
Primary Practice Address | 708 SAW MILL RIVER RD APT 1C ARDSLEY, NY 10502-1817 United States Phone: 646-531-5904 | Fax: | ||||||||||||
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