Provider Demographics
NPI:1780856146
Name:POURAKIS, GEORGE ANASTASIOS (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ANASTASIOS
Last Name:POURAKIS
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 DRUM RD
Mailing Address - Street 2:D-113
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-5001
Mailing Address - Country:US
Mailing Address - Phone:718-354-4414
Mailing Address - Fax:
Practice Address - Street 1:215 DRUM RD
Practice Address - Street 2:D-113
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-5001
Practice Address - Country:US
Practice Address - Phone:718-354-4414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2536462083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine