Organization
FRONT MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMETRIUS MOUTSIAKIS MD (OWNER)
(516) 385-1525
Entity
Organization
Contact information
Practice address
33 FRONT ST, SUITE 160, HEMPSTEAD, NY 11550-3601
(516) 385-1525
Mailing address
33 FRONT ST, SUITE 160, HEMPSTEAD, NY 11550-3601
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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