MICHAEL ANTONIS KOULLIAS

BROOKLYN, NY
NPI1699255406
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X Orthotist
(Licence: NY  4175)
Enumeration Date2018-08-21
Last Update Date2018-08-21
Business Address
Mr. MICHAEL ANTONIS KOULLIAS
1070 66TH ST
BROOKLYN, NY 11219-5939
Phone number: 646-642-6269
Mailing Address
Mr. MICHAEL ANTONIS KOULLIAS
1070 66TH ST
BROOKLYN, NY 11219-5939
Phone number: 646-642-6269
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