# SAW MEDICAL SERVICES PC

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

## Provider details

- **NPI number:** 1922373380
- **Authorized official:** DR. DEMETRIUS LEONIDAS MOUTSIAKIS M.D., M.P.H. (PHYSICIAN)
- **Authorized official phone:** (631) 698-1552

## Contact information

- **Practice address:** 400 HORSEBLOCK RD, SUITE E, FARMINGVILLE, NY 11738-1252
- **Practice address phone:** (631) 698-1552
- **Practice address fax:** (631) 698-1553
- **Mailing address:** 400 HORSEBLOCK RD, SUITE E, FARMINGVILLE, NY 11738-1252
- **Mailing address phone:** (631) 698-1552
- **Mailing address fax:** (631) 698-1553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 212315 | NY | Yes |

## Other

- **Enumeration date:** 03/19/2012
- **Last updated:** 03/19/2012