Individual
DR. ELIAS PETER KOTSOVOLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
218 BROADWAY GREENLAWN, HUNTINGTON, NY 11743-4601
(631) 754-4410
Mailing address
218 BROADWAY GREENLAWN, HUNTINGTON, NY 11743-4601
(631) 543-5774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007026
NY
Other
Enumeration date
03/22/2007
Last updated
07/09/2007
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