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Organization

THEOFANIS MITSINIKOS, DO, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THEOFANIS MITSINIKOS DO (OWNER)
(631) 751-2400
Entity
Organization

Contact information

Practice address
2500 NESCONSET HWY BLDG 3C, STONY BROOK, NY 11790-2551
(631) 751-2400
(631) 751-8323
Mailing address
2500 NESCONSET HWY BLDG 3C, STONY BROOK, NY 11790-2551

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
235458
NY

Other

Enumeration date
05/22/2017
Last updated
05/22/2017
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