| Dr Jesse Contovasilis Md Pc | |
|
755 Park Ave Suite 140 Huntington NY 11743-3975 | |
| (631) 357-0006 | |
| Not Available |
| Full Name | Dr Jesse Contovasilis Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 755 Park Ave, Huntington, New York |
| Authorized Official Name and Position | Jesse Contovasilis (PRESIDENT) |
| Authorized Official Contact | 6313570006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jesse Contovasilis Md Pc 32 Crescent Dr Old Bethpage NY 11804-1530 Ph: (631) 357-0006 | Dr Jesse Contovasilis Md Pc 755 Park Ave Suite 140 Huntington NY 11743-3975 Ph: (631) 357-0006 |
| NPI Number | 1568878593 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 07/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568878593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 273271 (New York) | Primary |
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