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Contact Information

DIMITRI J KOUMANIS, MD
13 CHESTER STREET
GLENS FALLS, NY12801-4432
 Phone: 518-203-2593
 Fax: 518-314-0701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DIMITRI J KOUMANIS · (Male)

NPI Number 1003992926
Status Active
Credentials MD
Entity Individual
Enumeration date 10/31/2006
Last updated 02/25/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 002733
  • NY License # 256948
Hospital affiliation(s)
  • GLENS FALLS HOSPITAL - (Acute Care)
    100 PARK STREET
    GLENS FALLS, NY 12801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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