Provider Demographics
NPI:1366732992
Name:TSOUNIAS, EMMANOUIL D (MD)
Entity type:Individual
Prefix:
First Name:EMMANOUIL
Middle Name:D
Last Name:TSOUNIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10211 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-2331
Mailing Address - Country:US
Mailing Address - Phone:718-898-5200
Mailing Address - Fax:718-898-1251
Practice Address - Street 1:10211 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368
Practice Address - Country:US
Practice Address - Phone:718-898-5200
Practice Address - Fax:718-898-1251
Is Sole Proprietor?:No
Enumeration Date:2011-04-16
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1094412080P0202X
NY2521852080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN7759OtherMEDICAL LICENSE
NY252185OtherMEDICAL LICENSE