DR. ANDREW KOUKOULAS (NPI# 1629207899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629207899 |
| Entity Type | Individual |
| Full Name | DR. ANDREW KOUKOULAS |
| Credential | DDS |
| Practice Address |
4904 19th Ave Astoria NY 11105-1002 |
| Practice Telephone | 7187773494 |
| Mailing Telephone | 7187773494 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 042427 | NY | Dental Providers |
| Street Address |
4904 19TH AVE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11105-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992723753 | Aung Khine Oo | Internal Medicine | 4904 19th Ave, Astoria, NY 11105-1002 | 2006-07-18 |
| 1689067019 | Christopher Wayne Johnson | Counselor | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-03-10 |
| 1437547957 | Brian Michael Burns | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-01-06 |
| 1700274305 | James Patrick Cassar | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-01-05 |
| 1770980252 | Corizon | Community/Behavioral Health | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-11-26 |
| 1609276534 | Adem Martin Geraghty | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-08-28 |
| 1477973519 | Christine Edmondson | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-04-16 |
| 1356778591 | Christopher Wayne Chan | Pharmacist | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-10-02 |
| 1356783476 | Anna T Richards | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-07-18 |
| 1669817938 | Correctional Medical Associates of Newyork, P.C. | Pharmacy | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639640345 | Bridget Mackin | Counselor | 2263 41st Street, Apt 1f, Astoria, NY 11105 | 2018-12-07 |
| 1487154597 | Five Star Assessment Corp | Specialist/Technologist | 2135 47 Street, Suite 2, Astoria, NY 11105 | 2018-02-15 |
| 1154843076 | Stefania Anne Vendome | Physician Assistant | 23-38 28th Street, Astoria, NY 11105 | 2017-07-12 |
| 1164942330 | Kara Lorraine Gerbino | Registered Nurse | 2325 31st St Ste 301, Astoria, NY 11105 | 2017-06-20 |
| 1669908828 | Gerlie H Estores | Licensed Practical Nurse | 2257 23rd Street, 2nd Floor, Astoria, NY 11105 | 2017-05-10 |
| 1558809665 | Tasrina Khan | Behavioral Analyst | 24-13 23rd Ave, Astoria, NY 11105 | 2017-02-09 |
| 1356892988 | Maria Tsoukias | Behavioral Analyst | 21-21 24th Street, Astoria, NY 11105 | 2016-10-19 |
| 1356705602 | Ahmed Y Nasser | Pharmacist | 21 09 A 31st Street, Pharmacare Plus Pharmacy, Astoria, NY 11105 | 2016-04-12 |
| 1194185363 | Sisters of The Good Shepherd | Social Worker | 25-30 21 Avenue, Astoria, NY 11105 | 2016-03-02 |
| 1154741551 | Latifat Okeke | Nurse Practitioner | 49-04 19th Ave, Rikers Island Correctional Facility, Astoria, NY 11105 | 2014-04-24 |
| Find all providers in zip 11105 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669851408 | Polina Chernyak | Dentist | 2181 38th St Apt 19, Astoria, NY 11105-1813 | 2015-05-27 |
| 1992077523 | Fatima De Lima | Dentist | 3190 31st St, #1a, Astoria, NY 11106-2536 | 2012-01-27 |
| 1871801738 | Mohammad Alavi | Dentist | 23-42 38th Street, Astoria, NY 11105 | 2010-09-14 |
| 1558677864 | Steinway 26 Dentistry PC | Dentist | 3027 Steinway St, Astoria, NY 11103-3801 | 2010-08-24 |
| 1255645768 | Rachana Waghela | Dentist | 1456 31st Dr, Apt 5e, Astoria, NY 11106-4569 | 2010-07-27 |
| 1588997621 | Drilona Sheti | Dentist | 2120 Broadway, Astoria, NY 11106-4533 | 2009-09-08 |
| 1861624405 | Ji Eun Park | Dentist | 25-37 Broadway, Astoria, NY 11106 | 2009-08-16 |
| 1033365887 | Lara Mikhail | Dentist | 2388 23rd St Apt 3, Astoria, NY 11105-3411 | 2008-08-12 |
| 1659538817 | Peter John Koubsky | Dentist | 2201 31st St, Astoria, NY 11105-2713 | 2008-05-16 |
| 1831387281 | Mohammad Nayeem | Dentist | 3317 30th Ave, Astoria, NY 11103-4601 | 2007-10-11 |
| Find all providers in ASTORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.