Kc Medical Concept, LLC
NPI #1407127525 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1407127525
- Entity Type
- Organization
- Organization Name
- Kc Medical Concept, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 20, 2012
- Last Updated
- Apr 23, 2013
Practice Location
- Address
- 102B ROUTE 112
- State
- New York
- ZIP Code
- 11776-1018
- Phone
- (631) 509-4774
Authorized Official
- Name
- DR. KAREN MOURTZIKOS, M.D
- Title
- DIRECTOR
- Phone
- (631) 509-4774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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