Evangeline Koutalianos, MD
Evangeline Koutalianos, MD is a Physical Medicine and Rehabilitation in Syracuse, New York. Qualified in 2013, 13 years ago. Practices with Physical Medicine and Rehab Medical Service Group, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.
- Years since qualifying
- 13
- Licensed in
- NY
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
750 E Adams StSyracuse, NY 13210-2306
Phone: (315) 464-5820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 299948 (NY) |
|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081P2900X · Licence 299948 (NY) |
Record details
| NPI number | 1780090035 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 8, 2014 |
| Last updated in NPPES | May 13, 2021 |
| Certification date | May 13, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Physical Medicine And Rehab Medical Service Group — 19 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Syracuse
-
Suzette Marie Arias Mejias
750 E Adams St, Syracuse, NY 13210-2306 · (315) 464-5540