Organization
CHS PHYSICIAN PARTNERS, PC
Active
Parent organization
CHS PHYSICIAN PARTNERS, PC
Other names
WOODMERE MEDICAL PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHS PHYSICIAN PARTNERS, PC
Authorized official
DR. JACK SOTERAKIS MD (PRESIDENT)
(516) 562-6231
Entity
Organization
Contact information
Practice address
923 BROADWAY, WOODMERE, NY 11598-1739
(516) 218-2163
(516) 218-2165
Mailing address
PO BOX 95000-6625, PHILADELPHIA, PA 19195-6625
(631) 465-6297
(631) 465-6524
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
155661
NY
207RP1001X
Pulmonary Disease Physician
Primary
155661
NY
Other
Enumeration date
12/19/2012
Last updated
07/19/2019
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