Kakoulides, George

Kakoulides, George is an sole proprietor health care provider with primary practice located at 380 Montauk Hwy , West Islip NY 11795-4403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Kakoulides, George can be contacted via phone (631) 422-5371.

Contact Information

Primary practice address
380 Montauk Hwy West Islip NY 11795-4403
Phone: (631) 422-5371
Fax: (631) 422-5371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X RT-1751 New Hampshire
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 275213 New York

Profile Details

NPI number 1417154733
LBN Legal business name Kakoulides, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2007
Last updated Jan 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417154733 NPPES
New York MEDICAID 04022455

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