Organization
SAW MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMETRIUS LEONIDAS MOUTSIAKIS M.D., M.P.H. (PHYSICIAN)
(631) 698-1552
Entity
Organization
Contact information
Practice address
400 HORSEBLOCK RD, SUITE E, FARMINGVILLE, NY 11738-1252
(631) 698-1552
(631) 698-1553
Mailing address
400 HORSEBLOCK RD, SUITE E, FARMINGVILLE, NY 11738-1252
(631) 698-1552
(631) 698-1553
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
212315
NY
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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