| Long Island Weight Loss Institute | |
|
467 Old Country Rd Westbury NY 11590-5136 | |
| (516) 333-5555 | |
| (516) 333-5585 |
| Full Name | Long Island Weight Loss Institute |
|---|---|
| Speciality | Internal Medicine |
| Location | 467 Old Country Rd, Westbury, New York |
| Authorized Official Name and Position | Michael Kaplan (OWNER) |
| Authorized Official Contact | 5163335555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Weight Loss Institute Po Box 1451 Smithtown NY 11787-8538 Ph: (516) 333-5555 | Long Island Weight Loss Institute 467 Old Country Rd Westbury NY 11590-5136 Ph: (516) 333-5555 |
| NPI Number | 1891060984 |
|---|---|
| Provider Enumeration Date | 03/21/2012 |
| Last Update Date | 03/21/2012 |
| Medicare PECOS PAC ID | 9739332420 |
|---|---|
| Medicare Enrollment ID | O20130107000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891060984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
| Provider Name | Andre G Giannakopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407942162 PECOS PAC ID: 3072527548 Enrollment ID: I20060203000549 |
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