SearchNew York207RE0101X

Theofanis Mitsinikos, D.O

NPI 1467624064 · on the registry since 2008 · sole proprietor

Practice

Address
2500 Nesconset Hwy
Bldg 3c
Stony Brook, NY 11790
Phone
(631) 751-2400
Fax
(631) 751-8323
Organisation at this address
A Kim Medical Pc
Rocco Caruso, Md
Albert Kim, Md,Pc
Scott Berman Md Pc
Ira Chernoff,Md Pci
Inferred from a shared address, not stated in the registry.
Clinicians at this address
99

Registry record

Primary taxonomy
207RE0101X
207RE0101X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-01-13

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