Individual
DR. THEOFANIS MITSINIKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 NESCONSET HWY, BLDG 3C, STONY BROOK, NY 11790-2555
(631) 751-2400
(631) 751-8323
Mailing address
2500 NESCONSET HWY, BLDG 3C, STONY BROOK, NY 11790-2555
(631) 751-2400
(631) 751-8323
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
235458
NY
Other
Enumeration date
03/24/2008
Last updated
01/13/2011
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