Kouroupos, Emanuel L

Kouroupos, Emanuel L is an sole proprietor health care provider with primary practice located at 2747 Crescent St Suite 206, Astoria NY 11102. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Kouroupos, Emanuel L can be contacted via phone (718) 204-1100.

Contact Information

Primary practice address
2747 Crescent St Suite 206 Astoria NY 11102
Fax: (718) 204-2049
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 155527-1 New York
Other Service Providers / Specialist 174400000X 155527-1 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 155527 New York

Profile Details

NPI number 1043281280
LBN Legal business name Kouroupos, Emanuel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated May 18th, 2018 - about 6 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 1043281280 NPPES
New York MEDICAID 00869470

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