KONSTANTINOS KOUTELOS M.D. & IRINA KRYM PHYSICIAN P.C. NPI 1003909839

NPI Information

NPI: 1003909839
Provider Name: KONSTANTINOS KOUTELOS, M.D. & IRINA KRYM PHYSICIAN, P.C.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
8401 FORT HAMILTON PKWY
BROOKLYN, NY
ZIP 11209
Phone: (718) 759-0105
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KONSTANTINOS KOUTELOS, M.D. & IRINA KRYM PHYSICIAN, P.C. is a cardiovascular disease internal medicine in Brooklyn, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. KONSTANTINOS KOUTELOS, M.D. & IRINA KRYM PHYSICIAN, P.C. NPI is 1003909839. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8401 FORT HAMILTON PKWY
BROOKLYN, NY
ZIP 11209-805
Phone: (718) 759-0105
Fax: (718) 759-0800

The provider's authorized official is Konstantinos Koutelos .
The authorized official title is Partner and has the following contact phone number (718) 759-0105.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 9/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G15632	MEDICARE UPIN	NEW YORK
2	01849825	MEDICAID	NEW YORK
3	01793324	MEDICAID	NEW YORK
4	35F671	MEDICARE UPIN	NEW YORK
5	F30373	MEDICARE UPIN	NEW YORK
6	01428293	MEDICAID	NEW YORK
7	WET061	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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