Provider Demographics
NPI:1467072983
Name:COUNTER POINT MEDICAL P.C.
Entity Type:Organization
Organization Name:COUNTER POINT MEDICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-517-3597
Mailing Address - Street 1:9614 63RD DR STE 200
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2257
Mailing Address - Country:US
Mailing Address - Phone:718-896-0111
Mailing Address - Fax:718-896-2163
Practice Address - Street 1:9614 63RD DR STE 200
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2257
Practice Address - Country:US
Practice Address - Phone:718-896-0111
Practice Address - Fax:718-896-2163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty