| NPI | 1376889386 |
|---|---|
| Doing Business As | WOODMERE MEDICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JACK SOTERAKIS President 516-562-6231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 155661) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 155661) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2019-07-19 |