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THEOFANIS MITSINIKOS DO PC NPI 1861929861


NPI Information

NPI: 1861929861
Provider Name: THEOFANIS MITSINIKOS, DO, PC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
2500 NESCONSET HWY BLDG 3C
STONY BROOK, NY
ZIP 11790
Phone: (631) 751-2400
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THEOFANIS MITSINIKOS, DO, PC is an endocrinology and diabetes and metabolism internal medicine in Stony Brook, NY. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. THEOFANIS MITSINIKOS, DO, PC NPI is 1861929861. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 NESCONSET HWY BLDG 3C
STONY BROOK, NY
ZIP 11790-551
Phone: (631) 751-2400
Fax: (631) 751-8323

The provider's authorized official is Theofanis Mitsinikos .
The authorized official title is Owner and has the following contact phone number (631) 751-2400.

The enumeration date for this NPI number is 5/22/2017 and was last updated on 5/22/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism235458NEW YORKYes

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: 11/14/2023

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