JOHN TSOURIS DPM NPI 1073640819

NPI Information

NPI: 1073640819
Provider Name: JOHN TSOURIS, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1363 STONY BROOK RD
STONY BROOK, NY
ZIP 11790
Phone: (631) 751-4603
Get Directions

JOHN TSOURIS, DPM is a foot surgery podiatrist in Stony Brook, NY. JOHN TSOURIS, DPM NPI is 1073640819. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1363 STONY BROOK RD
STONY BROOK, NY
ZIP 11790-208
Phone: (631) 751-4603
Fax: (631) 751-8166

The provider's authorized official is John Tsouris .
The authorized official title is Dpm and has the following contact phone number (631) 751-4603.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 6/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	N004604	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P51201	MEDICARE PIN	NEW YORK
2	U11181	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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