| Action Medical Pc | |
|
8 Technology Dr Suite 104 East Setauket NY 11733-3327 | |
| (631) 689-8662 | |
| (631) 689-5916 |
| Full Name | Action Medical Pc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 8 Technology Dr, East Setauket, New York |
| Authorized Official Name and Position | Dimos Kanakoudas (PRESIDENT) |
| Authorized Official Contact | 6316898662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Action Medical Pc 8 Technology Dr Suite 104 East Setauket NY 11733-3327 Ph: (631) 689-8662 | Action Medical Pc 8 Technology Dr Suite 104 East Setauket NY 11733-3327 Ph: (631) 689-8662 |
| NPI Number | 1790191427 |
|---|---|
| Provider Enumeration Date | 07/02/2014 |
| Last Update Date | 07/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790191427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 257261 (New York) | Primary |
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