Organization
HORSEBLOCK MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMETRIUS MOUTSIAKIS MD (OWNER)
(631) 698-1552
Entity
Organization
Contact information
Practice address
400 HORSEBLOCK RD, FARMINGVILLE, NY 11738-1252
(631) 698-1552
(631) 698-1553
Mailing address
400 HORSEBLOCK RD, FARMINGVILLE, NY 11738-1252
(631) 698-1552
(631) 698-1553
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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