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George John Koullias, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in East Patchogue, New York
NPI 1992986509

George John Koullias is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in East Patchogue, NY. George John Koullias practices in East Patchogue, NY and has the professional credentials of MD. The NPI Number for George John Koullias is 1992986509 and holds a License No. 036119605 (New York).

The current practice location address for George John Koullias is 100 Hospital Rd, East Patchogue, NY and can be reached out via phone at 631-438-5030 and via fax at 631-447-5954.

Location: 100 Hospital Rd, East Patchogue, NY, 11772-8809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992986509
Provider Name
George John Koullias
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Hospital Rd, East Patchogue, NY, 11772-8809
Phone Number
631-438-5030
Fax Number
631-447-5954
Provider Enumeration Date
11/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03619605 01 IL IL LICENSE
039729 01 CT CT LICENSE
262079 01 NY MEDICAL BOARD-NY STATE
institution
Provider Business Practice Location Address Details
Address
100 Hospital Rd
City
East Patchogue
State
New York
Zip
11772-8809
Phone Number
631-438-5030
Fax Number
631-447-5954
person
Provider Business Mailing Address Details
Address
100 Hospital Rd
City
East Patchogue
State
New York
Zip
11772-8809
Phone Number
631-438-5030
Fax Number
631-447-5954
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
036119605 (Illinois)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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