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Organization
COMPLETE HEALTH MEDICAL P.C.
Active
Organization
COMPLETE HEALTH MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMOS G KANAKOUDAS MD,DC,MS. (OWNER/MEDICAL DIRECTOR)
(631) 751-5700
Entity
Organization
Contact information
Practice address
3400 NESCONSET HWY STE 102, EAST SETAUKET, NY 11733-3327
(631) 751-5700
(631) 444-0193
Mailing address
3400 NESCONSET HWY, SUITE 102, EAST SETAUKET, NY 11733-3339
(631) 751-5700
(631) 444-0193
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
010895
NY
111NS0005X
Sports Physician Chiropractor
—
NULL
111NS0005X
Sports Physician Chiropractor
—
—
207QA0505X
Adult Medicine Physician
Primary
257261
NY
Other
Enumeration date
10/25/2010
Last updated
03/14/2021
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