| Integrative Medicine Of Brookhaven P.c. | |
|
59 Nesconset Hwy Fl 2 Port Jefferson Station NY 11776-2628 | |
| (646) 824-1380 | |
| Not Available |
| Full Name | Integrative Medicine Of Brookhaven P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 59 Nesconset Hwy Fl 2, Port Jefferson Station, New York |
| Authorized Official Name and Position | Dimos G Kanakoudas (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 6468241380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Medicine Of Brookhaven P.c. 7 Lost Meadow Ln Port Jefferson NY 11777-1127 Ph: () - | Integrative Medicine Of Brookhaven P.c. 59 Nesconset Hwy Fl 2 Port Jefferson Station NY 11776-2628 Ph: (646) 824-1380 |
| NPI Number | 1336647213 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 03/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336647213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 257261 (New York) | Primary |
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