Basic Information
Provider Information
NPI: 1487941688
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KOUTROLOU-SOTIROPOULOU
FirstName: PARASKEVI
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: STONY BROOK UNIVERSITY HOSPITAL
Address2: DEPT. OF MEDICINE HSC T 16
City: STONY BROOK
State: NY
PostalCode: 117948160
CountryCode: US
TelephoneNumber: 6314444000
FaxNumber: 6314442493
Practice Location
Address1: STONY BROOK UNIVERSITY HOSPITAL
Address2: DEPT. OF MEDICINE HSC T 16
City: STONY BROOK
State: NY
PostalCode: 117948160
CountryCode: US
TelephoneNumber: 6314444000
FaxNumber: 6314442493
Other Information
ProviderEnumerationDate: 07/08/2011
LastUpdateDate: 07/08/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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