Organization
CHS PHYSICIAN PARTNERS, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK SOTERAKIS M.D. (PRESIDENT)
(516) 562-6231
Entity
Organization
Contact information
Practice address
100 PORT WASHINGTON BLVD, SUITE 105, ROSLYN, NY 11576-1347
(516) 390-9640
(516) 390-9650
Mailing address
PO BOX 95000-6625, PHILADELPHIA, PA 19195-6625
(631) 465-6297
(631) 465-6524
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
107339
NY
207RC0000X
Cardiovascular Disease Physician
161798
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01243636
—
NY
01
—
DC4425
MC RR
NY
Enumeration date
12/18/2006
Last updated
07/19/2019
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