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

Individual provider Medical Physician Assistant · NPI 1245306174

Keith Kouroupos, PA-C is a Medical Physician Assistant in Staten Island, New York. Works from 2 locations. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
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

501 Seaview Ave
Staten Island, NY 10305
Phone: (718) 226-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 305 Seguine Ave, Staten Island, NY 10309-3730 — (718) 967-8300

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 010650 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00143300 (NJ)

Record details

NPI number1245306174
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 24, 2006
Last updated in NPPESSeptember 22, 2019

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