Dr Spiro Theoharakis, MD | |
50 Karl Ave, Ste 205, Smithtown, NY 11787-2744 | |
(631) 366-3600 | |
(631) 366-3667 |
Full Name | Dr Spiro Theoharakis |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 50 Karl Ave, Smithtown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124004056 | NPI | - | NPPES |
01589399 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 175445 (New York) | Primary |
Entity Name | Long Island Select Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043663107 PECOS PAC ID: 5991086225 Enrollment ID: O20161229000247 |
Mailing Address | Practice Location Address |
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Dr Spiro Theoharakis, MD 50 Karl Ave, Ste 205, Smithtown, NY 11787-2744 Ph: (631) 366-3600 | Dr Spiro Theoharakis, MD 50 Karl Ave, Ste 205, Smithtown, NY 11787-2744 Ph: (631) 366-3600 |
Karin Eva Burkhard, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 994 W Jericho Tpke, Suite 202, Smithtown, NY 11787 Phone: 631-864-9200 Fax: 631-864-9201 | |
Reena Jaiswal, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 180 E Main St Ste 201, Smithtown, NY 11787 Phone: 631-800-8004 | |
Vaishnavi Vaddigiri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11 Route 111, Smithtown, NY 11787 Phone: 631-920-8300 | |
Suzanne L Tuzel, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 222 Middle Country Rd, Suite 210, Smithtown, NY 11787 Phone: 631-265-6868 Fax: 631-265-6890 | |
Mr. John Marrero, RN Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 20 Weston Ln, Smithtown, NY 11787 Phone: 516-325-8735 | |
Shelley J Epstein, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 222 Middle Country Rd, Suite 210, Smithtown, NY 11787 Phone: 631-265-6868 Fax: 631-265-6890 |