Individual
DR. SYMEON MISSIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1175 MONTAUK HWY STE 6, WEST ISLIP, NY 11795-4939
(631) 422-5371
(330) 665-6748
Mailing address
1175 MONTAUK HWY STE 6, WEST ISLIP, NY 11795-4939
(631) 422-5371
(330) 665-6748
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35124092
OH
207T00000X
Neurological Surgery Physician
MD.206973
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2370618
—
LA
01
—
362659YH54
MEDICARE - PTAN
LA
Enumeration date
08/21/2006
Last updated
10/17/2019
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