Individual
DR. ATHINA KATSOUGRAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
900 WALT WHITMAN RD, SUITE 105, MELVILLE, NY 11747-2293
(631) 271-9199
Mailing address
900 WALT WHITMAN RD, SUITE 105, MELVILLE, NY 11747-2293
(631) 271-9199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053943-1
NY
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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