National Provider Identifier
Mary Beth Kolokouris
Mary Beth Kolokouris is listed in the NPPES registry with a primary specialty of Specialist in Greece, NY and a listed phone number of (607) 235-3980.
Profile Overview
- NPI
- 1003591132
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 16, 2023
- Last Updated
- June 16, 2023
Practice Location
- 2099 W Ridge RD
- Greece, NY 14626-2728
Phone: (607) 235-3980
Mailing Address
- 193 Wadsworth Ave
- Avon, NY 14414-1157
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1003591132
- Entity Type
- Individual
- Last Name
- Kolokouris
- First Name
- Mary Beth
- Mailing Street Address
- 193 Wadsworth Ave
- Mailing City
- Avon
- Mailing State
- NY
- Mailing ZIP Code
- 14414-1157
- Mailing Country
- US
- Mailing Phone
- (585) 736-8973
- Practice Street Address
- 2099 W Ridge RD
- Practice City
- Greece
- Practice State
- NY
- Practice ZIP Code
- 14626-2728
- Practice Country
- US
- Practice Phone
- (607) 235-3980
- Enumeration Date
- June 16, 2023
- Last Updated
- June 16, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 16, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)