Guy Anthony Koutouvidis in Port Jefferson - Clinical
Guy Anthony Koutouvidis - NPI 1609941814
Guy Anthony Koutouvidis is a Clinical in Port Jefferson, New York. Guy Anthony Koutouvidis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Guy Anthony Koutouvidis is 1609941814. The last update date is 2007-07-08.
Guy Anthony Koutouvidis's current location address is 14 E Broadway, Port Jefferson, New York. You can contact this provider via phone number 6316429525 and fax number 6316429525. The mailing address for Guy Anthony Koutouvidis is 14 E Broadway, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Guy Anthony Koutouvidis |
|---|---|
| Address | 14 E Broadway, Port Jefferson, New York |
| Phone Number | 6316429525 |
| Fax Number | 6316429525 |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1609941814 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14 E Broadway |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 117771400 |
| Phone Number | 6316429525 |
| Fax Number | 6316429525 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R052825-1 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Guy Anthony Koutouvidis?
The Guy Anthony Koutouvidis has been issued the NPI (National Provider Identifier) 1609941814 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Guy Anthony Koutouvidis's facilities are situated?
The facilities of Guy Anthony Koutouvidis are physically located at the following address: 14 E Broadway, Port Jefferson, NY, 117771400.
What is Guy Anthony Koutouvidis's area of expertise and its corresponding taxonomy classification?
The Guy Anthony Koutouvidis's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609941814 to Guy Anthony Koutouvidis?
The Centers for Medicare & Medicaid Services originally issued the 1609941814 to Guy Anthony Koutouvidis on 2006-11-22.
As of what date were the details related to Guy Anthony Koutouvidis most recently updated or revised?
The information pertaining to Guy Anthony Koutouvidis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.