Individual
DR. MIKE M PAPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1274 E MAIN ST, RIVERHEAD, NY 11901-2583
(631) 591-0840
(631) 591-0841
Mailing address
PO BOX 1795, HUNTINGTON, NY 11743-0468
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
222059
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02954685
—
NY
01
—
P00319546
RAILROAD MEDICARE
NY
Enumeration date
02/13/2006
Last updated
06/03/2014
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