Organization
ACTION MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMOS KANAKOUDAS M.D. (PRESIDENT)
(631) 689-8662
Entity
Organization
Contact information
Practice address
8 TECHNOLOGY DR, SUITE 104, EAST SETAUKET, NY 11733-3327
(631) 689-8662
(631) 689-5916
Mailing address
8 TECHNOLOGY DR, SUITE 104, EAST SETAUKET, NY 11733-3327
(631) 689-8662
(631) 689-5916
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
257261
NY
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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