Integrative Medicine Of Brookhaven P.C.

LBN: Integrative Medicine Of Brookhaven P.C.
Integrative Medicine Of Brookhaven P.C. is an health care organization with primary practice located at 59 Nesconset Hwy Fl 2 , Port Jefferson Station NY 11776-2628. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Integrative Medicine Of Brookhaven P.C. can be contacted via phone (646) 824-1380, or through Kanakoudas, Dimos G via phone (646) 824-1380.

Contact Information

Primary practice address
59 Nesconset Hwy Fl 2 Port Jefferson Station NY 11776-2628
Phone: (646) 824-1380
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kanakoudas, Dimos G Doctor of Medicine (MD)
Phone: (646) 824-1380

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 257261 New York

Profile Details

NPI number 1336647213
LBN Legal business name Integrative Medicine Of Brookhaven P.C.
DBA Doing business as
Authorized official Kanakoudas, Dimos G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2018
Last updated Mar 14th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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