Dr. Leon Dimitrios Boudourakis
Trauma Surgeon Surgical Critical Care
451 Clarkson Ave Box 22
Brooklyn
, New York 11203-2054
Dr. Leon Dimitrios Boudourakis
Trauma Surgeon Surgical Critical Care
451 Clarkson Ave Box 22
Brooklyn
, New York 11203-2054
(718) 245-2026
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About
Features
Specialties
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Leon Dimitrios Boudourakis
- 451 Clarkson Ave Box 22
- Brooklyn, NY
- Zip : 11203-2054
- Phone : (718) 245-2026
Second Address
- Dr. Leon Dimitrios Boudourakis
- 451 Clarkson Ave Box 22
- Brooklyn, NY
- Zip : 11203-2054
- Phone : (718) 245-2026
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0102X | Surgical Critical Care | 256935 | NY |
| Y | 2086S0127X | Trauma Surgeon | 256935 | NY |
National Provider Identifier
| NPI | 1073771051 |
|---|---|
| Provider Name | Dr. Leon Dimitrios Boudourakis |
| First Address | Brooklyn, NY 11203-2054 |
| Second Address | Brooklyn, NY 11203-2054 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2008 |
| Last Update Date | 25/04/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.