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Nicolas Mavromoustakos
NPI 1003440504 · on the registry since 2020 · sole proprietor
Practice
- Address
- 14 Birch Ave
Huntington, NY 11743 - Phone
- (631) 662-5714
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York