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

Mr. Michael Antonis Koullias

Individual provider Orthotist · NPI 1699255406

Mr. Michael Antonis Koullias is an Orthotist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

1070 66th St
Brooklyn, NY 11219-5939
Phone: (646) 642-6269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence 4175 (NY)

Record details

NPI number1699255406
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 21, 2018
Last updated in NPPESAugust 21, 2018

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