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1467624064
THEOFANIS MITSINIKOS
STONY BROOK, NY
NPI
1467624064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: NY 235458)
Enumeration Date
2008-03-24
Last Update Date
2011-01-13
Business Address
Dr. THEOFANIS MITSINIKOS D.O.
2500 NESCONSET HWY BLDG 3C
STONY BROOK, NY 11790-2555
Phone number: 631-751-2400
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Mailing Address
Dr. THEOFANIS MITSINIKOS D.O.
2500 NESCONSET HWY BLDG 3C
STONY BROOK, NY 11790-2555
Phone number: 631-751-2400
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