Nicolas Mavromoustakos
NPI #1003440504 in Huntington, New York
Provider Information
- NPI Number
- 1003440504
- Entity Type
- Individual
- Name
- Nicolas Mavromoustakos
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Feb 24, 2020
- Last Updated
- Jul 15, 2021
Practice Location
- Address
- 14 BIRCH AVE
- City
- Huntington
- State
- New York
- ZIP Code
- 11743-4655
- Phone
- (631) 662-5714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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