DR. John Tsouris, D.P.M.

NPI #1225032097 in Lake Grove, New York

Provider Information

NPI Number: 1225032097
Entity Type: Individual
Name: DR. John Tsouris, D.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist - Foot Surgery
Credential: D.P.M.
Enumeration Date: Jun 9, 2005
Last Updated: Oct 16, 2014

Practice Location

Address: 2233 NESCONSET HWY
Address 2: SUITE 206
City: Lake Grove
State: New York
ZIP Code: 11755-1000
Phone: (631) 751-4603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X
Podiatrist - Sports Medicine — Sports Medicine	213ES0000X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X	Primary

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