Organization
CHS PHYSICIAN PARTNERS, PC
Active
Parent organization
CHS PHYSICIAN PARTNERS, PC
Other names
Kornblit Medical Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHS PHYSICIAN PARTNERS, PC
Authorized official
DR. JACK SOTERAKIS MD (PRESIDENT)
(516) 562-6231
Entity
Organization
Contact information
Practice address
830 ATLANTIC AVE, BALDWIN, NY 11510-4098
(516) 867-6868
(516) 867-0892
Mailing address
PO BOX 95000-6625, PHILADELPHIA, PA 19195-6625
(631) 465-6297
(631) 465-6524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
153429
NY
Other
Enumeration date
05/28/2013
Last updated
07/18/2019
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