Gena Nicole Koutsounadis, DO
Student in an Organized Health Care Education/Training Program in Mineola, NY. Individual provider (NPI-1).
NPI number1801682000
StatusActive
Last updated in NPPESApr 16, 2025
Details
- NPI
- 1801682000
- Entity type
- Individual (NPI-1)
- Name
- Gena Nicole Koutsounadis
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2025
- Certification date
- Apr 3, 2025
- Last updated
- Apr 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
259 1st StMineola, NY 11501-3957
Phone 516-663-0333
Mailing address
4748 197th StFlushing, NY 11358-3937
Phone 347-453-4305
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All 401 Student in an Organized Health Care Education/Training Program providers in Mineola · All 2,401 providers in Mineola
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