Sclavos, Kostas

Sclavos, Kostas is an individual health care provider with primary practice located at 720 Udall Rd , West Islip NY 11795-1853. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sclavos, Kostas can be contacted via phone (631) 422-2225.

Contact Information

Primary practice address
720 Udall Rd West Islip NY 11795-1853
Phone: (631) 422-2225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X006979 New York

Profile Details

NPI number 1114117439
LBN Legal business name Sclavos, Kostas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Aug 1st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114117439 NPPES
New York Other X63121 MEDICARE

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