Provider Demographics
NPI:1093238339
Name:PYGEROU KOFINAS, MARIA (MD)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:PYGEROU KOFINAS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 BROADWAY
Mailing Address - Street 2:FLOOR 14
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10006
Mailing Address - Country:US
Mailing Address - Phone:212-348-4000
Mailing Address - Fax:212-348-4001
Practice Address - Street 1:65 BROADWAY
Practice Address - Street 2:FLOOR 14
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006
Practice Address - Country:US
Practice Address - Phone:212-348-4000
Practice Address - Fax:212-348-4001
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-19
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1550192080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine