Provider Demographics
NPI:1912138447
Name:METRO HEALTH PHYSICIANS P.C.
Entity type:Organization
Organization Name:METRO HEALTH PHYSICIANS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARKOS
Authorized Official - Middle Name:I
Authorized Official - Last Name:KOUTSOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-327-1500
Mailing Address - Street 1:421 78TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3403
Mailing Address - Country:US
Mailing Address - Phone:718-491-0706
Mailing Address - Fax:718-491-0732
Practice Address - Street 1:421 78TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3403
Practice Address - Country:US
Practice Address - Phone:718-491-0706
Practice Address - Fax:718-491-0732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty