Most Relevant Information
Provider Data
| NPI Number: | 1003591132 |
| Provider Name: | MARY BETH KOLOKOURIS |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/16/2023 |
| Last Updated: | 06/16/2023 |
Provider Practice Location
2099 W RIDGE RD
GREECE
NY
146262728
Practice Location Phone/Fax
| Phone: | 6072353980 |
| Fax: |
Provider Mailing Location
193 WADSWORTH AVE
AVON
NY
144141157
Provider Mailing Phone/Fax
| Phone: | 5857368973 |
| Fax: |