Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daniele J. Kouroupos, PA-C

Individual provider Physician Assistant · NPI 1548565856

Daniele J. Kouroupos, PA-C is a Physician Assistant in Staten Island, New York. Qualified in 2006, 20 years ago. Practices with Amboy Medical Practice PC, a 173-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1414 Victory Blvd
Staten Island, NY 10301
Phone: (718) 447-1261
Fax: (718) 981-1856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011309 (NY)

Record details

NPI number1548565856
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2011
Last updated in NPPESJanuary 18, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Amboy Medical Practice Pc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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