Organization
MONTAUK MEDICAL TESTING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE KAKOULIDES MD (OWNER)
(631) 400-3999
Entity
Organization
Contact information
Practice address
1717 VETERANS MEMORIAL HWY STE 2, ISLANDIA, NY 11749-1532
(631) 400-3999
Mailing address
1717 VETERANS MEMORIAL HWY STE 2, ISLANDIA, NY 11749-1532
(631) 828-0720
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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