Organization
DR JESSE CONTOVASILIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE CONTOVASILIS MD (PRESIDENT)
(631) 357-0006
Entity
Organization
Contact information
Practice address
755 PARK AVE, SUITE 140, HUNTINGTON, NY 11743-3975
(631) 357-0006
Mailing address
32 CRESCENT DR, OLD BETHPAGE, NY 11804-1530
(631) 357-0006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
273271
NY
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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