National Provider Identifier

Teodor Kouzov, MD

Teodor Kouzov, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Elmira, NY and a listed phone number of (607) 737-4100.

NPI 1376287508Elmira, NYFamily Medicine Physician

Profile Overview

NPI
1376287508
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
April 25, 2022
Last Updated
June 12, 2025

Practice Location

  • 600 Roe Ave
  • Elmira, NY 14905-1676

Phone: (607) 737-4100

Mailing Address

  • 600 Roe Ave
  • Elmira, NY 14905-1629

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1376287508
Entity Type
Individual
Last Name
Kouzov
First Name
Teodor
Credential
MD
Mailing Street Address
600 Roe Ave
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-1629
Mailing Country
US
Mailing Phone
(607) 737-4100
Practice Street Address
600 Roe Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1676
Practice Country
US
Practice Phone
(607) 737-4100
Enumeration Date
April 25, 2022
Last Updated
June 12, 2025
Sex
Male
Sole Proprietor
No
Certification Date
June 12, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
745801057-00 (NY)