| NPI | 1861929861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOFANIS MITSINIKOS Owner 631-751-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 235458) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |