Dr. George Andrew Poulos, D.O.
Otolaryngology, Otolaryngology/Facial Plastic Surgery in Islandia, NY. Individual provider (NPI-1).
NPI number1548469091
StatusActive
Last updated in NPPESApr 3, 2019
Details
- NPI
- 1548469091
- Entity type
- Individual (NPI-1)
- Name
- Dr. George Andrew Poulos
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2007
- Last updated
- Apr 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0905X | Otolaryngology, Otolaryngology/Facial Plastic Surgery | 269641-1 | NY | Yes |
| 207YX0901X | Otolaryngology, Otology & Neurotology | 269641-1 | NY |
Practice location
2929 Expressway Dr NIslandia, NY 11749-5306
Phone 631-665-2430 · Fax 631-665-2342
Mailing address
660 White Plains Rd Fl 4Tarrytown, NY 10591-5139
Phone 914-984-2546
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