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Individual

ALEXANDER KAPOUTSOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT,DPT

Contact information

Practice address
222 E MIDDLE COUNTRY RD STE 103, SMITHTOWN, NY 11787-2814
(631) 393-1645
Mailing address
3 HUNTINGTON QUADRANGLE STE 103N, MELVILLE, NY 11747-4601
(516) 474-2816

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049793
NY

Other

Enumeration date
12/08/2022
Last updated
12/08/2022
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