OrganizationActive
Dr Paul Poulakos DO, LLC
NPI 1104451525 · Clinic/Center · New York, NY
Dr Paul Poulakos DO, LLC is a Clinic/Center organization in New York, NY (NPI 1104451525).
Provider details
- NPI number
- 1104451525
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Poulakos, Physician(917) 275-3625
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
412 6th Avenue
Floor 7, Suite 702
New York, NY 10011-4918
Phone: (917) 275-3625
Approximate (ZIP-level) locationGet directions
Mailing address
412 6th Avenue
New York, NY 10011-4918
Registry dates
- Enumerated
- 2020-03-05
- Last updated
- 2024-07-03
- Certified
- 2023-12-28
Frequently asked questions
- What is Dr Paul Poulakos DO, LLC's NPI number?
- Dr Paul Poulakos DO, LLC's National Provider Identifier (NPI) is 1104451525, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Paul Poulakos DO, LLC?
- Dr Paul Poulakos DO, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dr Paul Poulakos DO, LLC located?
- Dr Paul Poulakos DO, LLC's practice location on file with NPPES is 412 6th Avenue, New York, NY 10011-4918.
- What is Dr Paul Poulakos DO, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dr Paul Poulakos DO, LLC is (917) 275-3625.
- Who is the authorized official for Dr Paul Poulakos DO, LLC?
- The authorized official listed on Dr Paul Poulakos DO, LLC's NPPES record is Paul Poulakos, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Paul Poulakos DO, LLC's NPI active?
- Yes — Dr Paul Poulakos DO, LLC's NPI (1104451525) is active in the NPPES registry as of the last update on 2024-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.