NICOLAS MAVROMOUSTAKOS

HUNTINGTON, NY
NPI1003440504
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  026722)
Enumeration Date2020-02-24
Last Update Date2021-07-15
Business Address
NICOLAS MAVROMOUSTAKOS
14 BIRCH AVE
HUNTINGTON, NY 11743-4655
Phone number: 631-662-5714
Mailing Address
NICOLAS MAVROMOUSTAKOS
14 BIRCH AVE
HUNTINGTON, NY 11743-4655
Phone number:
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