Fotopoulos, Costa

Fotopoulos, Costa is an individual health care provider with primary practice located at 800 Poly Pl , Brooklyn NY 11209-7104. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as his primary health care specialty. Fotopoulos, Costa can be contacted via phone (718) 836-6600.

Contact Information

Primary practice address
800 Poly Pl Brooklyn NY 11209-7104
Phone: (718) 836-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 000412-1 New York

Profile Details

NPI number 1033157219
LBN Legal business name Fotopoulos, Costa
Credentials R.D., M.S., C.N.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Apr 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033157219 NPPES
New York Other 78P0031 NYPCHP
New York Other P467422 NYPCHP
New York Other 000412-1 NYPCHP

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