Individual
KONSTANTINOS TSAKALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
594 BROADWAY RM 911, NEW YORK, NY 10012-3289
(212) 334-1933
Mailing address
3213 32ND ST # 1, ASTORIA, NY 11106-2644
(954) 562-1184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013601
NY
Other
Enumeration date
05/10/2022
Last updated
05/16/2022
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