MR. Dimitri George Panoussis

NPI #1376262899 in Copiague, New York

Provider Information

NPI Number: 1376262899
Entity Type: Individual
Name: MR. Dimitri George Panoussis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Aug 26, 2022
Last Updated: Aug 26, 2022

Practice Location

Address: 445 OAK ST
City: Copiague
State: New York
ZIP Code: 11726-3111
Phone: (631) 257-5173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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