INTEGRATIVE MEDICINE OF BROOKHAVEN P.C. NPI 1336647213

NPI Information

INTEGRATIVE MEDICINE OF BROOKHAVEN P.C. is a family medicine in Port Jefferson Station, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INTEGRATIVE MEDICINE OF BROOKHAVEN P.C. NPI is 1336647213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

59 NESCONSET HWY FL 2
PORT JEFFERSON STATION, NY
ZIP 11776-628
Phone: (646) 824-1380

The provider's authorized official is Dimos G Kanakoudas .
The authorized official title is Owner/medical Director and has the following contact phone number (646) 824-1380.

The enumeration date for this NPI number is 1/25/2018 and was last updated on 3/14/2021.

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:

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