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NPI Code Detail

MEDICARE: DR. SPYRIDON P KOKOLIS MD

MEDICARE: DR. SPYRIDON P KOKOLIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician224331NY

General Provider Information

NPI Number : 1306905443
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SPYRIDON P KOKOLIS MD
Provider Business Mailing Address
First Line : 7803 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-3701
Country : US
Telephone Number : 718-491-4949
Fax Number :
Provider Business Practice Location Address
First Line : 7803 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-3701
Country : US
Telephone Number : 718-491-4949
Fax Number : 718-491-4929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 11/05/2012

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Directions to “ DR. SPYRIDON P KOKOLIS MD” Practice Location

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