George John Koullias in East Patchogue - Thoracic Surgery (cardiothoracic Vascular Surgery)
George John Koullias - NPI 1992986509
George John Koullias is a Thoracic Surgery (cardiothoracic Vascular Surgery) in East Patchogue, New York. George John Koullias practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for George John Koullias is 1992986509. The last update date is 2013-11-14.
George John Koullias's current location address is 100 Hospital Rd, East Patchogue, New York. You can contact this provider via phone number 6314385030 and fax number 6314475954. The mailing address for George John Koullias is 100 Hospital Rd, East Patchogue, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George John Koullias |
|---|---|
| Address | 100 Hospital Rd, East Patchogue, New York |
| Phone Number | 6314385030 |
| Fax Number | 6314475954 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992986509 |
|---|---|
| Provider Enumeration Date | 2007-11-26 |
| Last Updated Date | 2013-11-14 |
Provider Mailing Address Detail
| Address | 100 Hospital Rd |
|---|---|
| City | East Patchogue |
| State | New York (NY) |
| Post Code | 117728809 |
| Phone Number | 6314385030 |
| Fax Number | 6314475954 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 36119605 |
|
Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3619605 | IL | IL LICENSE | |
| 39729 | CT | CT LICENSE | |
| 262079 | NY | MEDICAL BOARD-NY STATE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to George John Koullias by the Centers for Medicare & Medicaid Services?
The George John Koullias has been issued the NPI (National Provider Identifier) 1992986509 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of George John Koullias?
The George John Koullias is physically situated at 100 Hospital Rd, in the city of East Patchogue, state of NY, with the postal code 117728809.
What is George John Koullias's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for George John Koullias is Thoracic Surgery (cardiothoracic Vascular Surgery), and the taxonomy classification code that categorizes this area of expertise is 208G00000X.
On what date was the 1992986509 assigned to George John Koullias?
The George John Koullias was issued its 1992986509 on 2007-11-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding George John Koullias, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to George John Koullias, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-11-14.
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