Individual
SOTERIOS C PHILIPPOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 629-2484
(516) 629-2027
Mailing address
PO BOX 1529, PORT WASHINGTON, NY 11050-7529
(516) 629-2484
(516) 629-2027
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
130214
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00716234
—
NY
Enumeration date
01/10/2007
Last updated
08/09/2013
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