Provider Demographics
NPI:1013105527
Name:KIOURANAKIS, NIKOLAOS (MD)
Entity Type:Individual
Prefix:DR
First Name:NIKOLAOS
Middle Name:
Last Name:KIOURANAKIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NIKOLAOS
Other - Middle Name:
Other - Last Name:KIOURANAKIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1012 AVENUE Y
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5014
Mailing Address - Country:US
Mailing Address - Phone:718-879-8877
Mailing Address - Fax:718-879-8866
Practice Address - Street 1:1012 AVENUE Y
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5014
Practice Address - Country:US
Practice Address - Phone:718-879-8877
Practice Address - Fax:718-879-8866
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270342207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics