Provider Demographics
NPI:1013599901
Name:KOKOROSKOS, NIKOLAOS (MD)
Entity Type:Individual
Prefix:DR
First Name:NIKOLAOS
Middle Name:
Last Name:KOKOROSKOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 VOSPOROU STREET
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:ATTIKI
Mailing Address - Zip Code:14234
Mailing Address - Country:GR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 BROOKDALE PLZ
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3139
Practice Address - Country:US
Practice Address - Phone:694-800-6519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program