Kostas Neoclis, SCD is a
Audiologist based in Massapequa Park, New York. Kostas Neoclis is licensed to practice in New York (license number 002493) and his current practice location is
4770 Sunrise Hwy Ste 106, Massapequa Park, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 261-9398.
NPI number for Kostas Neoclis is 1932472941 and his current mailing address is Po Box 7247-6822, Philadelphia, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932472941.
Healthcare Provider's Profile
| Full Name | Kostas Neoclis |
|---|
| Gender | Male |
|---|
| Speciality | Audiologist |
|---|
| Location | 4770 Sunrise Hwy Ste 106, Massapequa Park, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932472941
- Provider Enumeration Date: 02/22/2012
- Last Update Date: 11/13/2019
Medical Identifiers
Medical identifiers for Kostas Neoclis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932472941 | NPI | - | NPPES |
| 03686835 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 1601000605 (Michigan) | Secondary |
| 231H00000X | Audiologist | 002493 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kostas Neoclis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kostas Neoclis, SCD
Po Box 7247-6822,
Philadelphia, PA 19170-0001
Ph: (914) 241-1050 | Kostas Neoclis, SCD
4770 Sunrise Hwy Ste 106,
Massapequa Park, NY 11762-2911
Ph: (516) 261-9398 |
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