Organization
CHS PHYSICIAN PARTNERS
Active
Other names
Wantagh Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK SOTERAKIS (PRESIDENT)
(516) 562-6231
Entity
Organization
Contact information
Practice address
2155 WANTAGH AVE, WANTAGH, NY 11793-3915
(516) 785-1200
Mailing address
PO BOX 95000-6625, PHILADELPHIA, PA 19195-6625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
07/19/2019
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