# COMPLETE HEALTH MEDICAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548560527
- **Authorized official:** DR. DIMOS G KANAKOUDAS MD,DC,MS. (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (631) 751-5700

## Contact information

- **Practice address:** 3400 NESCONSET HWY STE 102, EAST SETAUKET, NY 11733-3327
- **Practice address phone:** (631) 751-5700
- **Practice address fax:** (631) 444-0193
- **Mailing address:** 3400 NESCONSET HWY, SUITE 102, EAST SETAUKET, NY 11733-3339
- **Mailing address phone:** (631) 751-5700
- **Mailing address fax:** (631) 444-0193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 010895 | NY | — |
| 111NS0005X | Sports Physician Chiropractor | — | NULL | — |
| 111NS0005X | Sports Physician Chiropractor | — | — | — |
| 207QA0505X | Adult Medicine Physician | 257261 | NY | Yes |

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 03/14/2021