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Organization
LONG ISLAND INTEGRATIVE FUNCTIONAL MEDICINE, PC
Active
Organization
LONG ISLAND INTEGRATIVE FUNCTIONAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVANGELIA LILA AUGOUSTINIATOS MD (PRESIDENT)
(631) 398-3206
Entity
Organization
Contact information
Practice address
100 TERRY RD, SMITHTOWN, NY 11787-3811
(631) 979-7400
(631) 979-7440
Mailing address
100 TERRY RD, SMITHTOWN, NY 11787-3811
(631) 979-7400
(631) 979-7440
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
08/31/2026
Last updated
08/31/2026
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