Panayota Penny Kollias-Stroumbakis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042820 Issued in NY

Practice address

2819 Corporal Kennedy St
Bayside, NY 11360-2436

Phone

(718) 428-6039

Fax

(718) 428-5150

NPI assigned

Jun 5, 2008

Last updated

Jun 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1629237599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 CORPORAL KENNEDY ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602436",
            "telephone_number": "718-428-6039",
            "fax_number": "718-428-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 CORPORAL KENNEDY ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602436",
            "telephone_number": "718-428-6039",
            "fax_number": "718-428-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLIAS-STROUMBAKIS",
        "first_name": "PANAYOTA",
        "middle_name": "PENNY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley G Ko
• Richard Wallace Koffler, CASAC
• Omid Kohani, MD
• Michael Kokolis, DDS
• Adam J Kolesar, MSP.,CCC-SLP, BRS-S
• Faye Jennifer Cabrera Konecky
• Edward Rok Kong, OPTICIAN
• Fanyi Kong, MD
• Richard J Kops, M.D.
• Korean Community Services of Metropolitan New York, Inc.

• General Practice Dentistry in Bayside, NY
• Providers in Bayside, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.