Theodorakis, Michael E

Theodorakis, Michael E is an individual health care provider with primary practice located at 235 N Belle Mead Rd , E Setauket NY 11733-3456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Theodorakis, Michael E can be contacted via phone (631) 751-3000.

Contact Information

Primary practice address
235 N Belle Mead Rd E Setauket NY 11733-3456
Phone: (631) 751-3000
Fax: (631) 751-3366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 137427 New York

Profile Details

NPI number 1467456806
LBN Legal business name Theodorakis, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 24th, 2014 - about 10 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 1467456806 NPPES
New York MEDICAID 01415838

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