Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Paul Poulakos DO, LLC

Organization Clinic/Center · NPI 1104451525

Dr Paul Poulakos DO, LLC is a Clinic/Center in New York, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

412 6th Ave Fl 7 Ste 702
New York, NY 10011-4918
Phone: (917) 275-3625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1104451525
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Poulakos — Physician · (917) 275-3625
NPI enumeratedMarch 5, 2020
Last updated in NPPESJuly 3, 2024
Certification dateDecember 28, 2023
Mailing address412 6th Avenue, Floor 7, Suite 702, New York, NY 10011-4918

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