Individual
CHRISTOS MICHAEL KOSTAS MOUZAKITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
475 NORTHERN BLVD STE 11, GREAT NECK, NY 11021-4802
(516) 829-0030
(516) 466-7723
Mailing address
475 NORTHERN BLVD STE 11, GREAT NECK, NY 11021-4802
(516) 829-0030
(516) 466-7723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184281537
NPI
—
Enumeration date
11/26/2019
Last updated
01/08/2021
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