DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THEOFANIS MITSINIKOS, D.O.

Active Sole Proprietor

DR. THEOFANIS MITSINIKOS, D.O. is a Endocrinology, Diabetes & Metabolism healthcare provider located in STONY BROOK, New York. NPI 1467624064 is currently active in the NPPES registry. Verify at CMS.

Endocrinology, Diabetes & Metabolism · STONY BROOK, NY

Registration Details

NPI Number
1467624064
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2008 (18.365227959645 yrs)
Last Updated
Jan 13, 2011
License
235458 (NY)
Sole Proprietor
Yes

Practice Information

Address
2500 NESCONSET HWY
BLDG 3C
STONY BROOK, NY, 117902555
Browse NY providers · Browse ZIP 11790
Phone
6317512400
Fax
6317518323
Primary Specialty
Endocrinology, Diabetes & Metabolism
207RE0101X

Other Endocrinology, Diabetes & Metabolism Providers in STONY BROOK, NY

Name Credential NPI
DR. MICHELLE CECELIA JARDINE MD 1497740781
PHYLLIS MIGDAL M.D. 1144246885
CHING-HUI WU M.D. 1598860967
DEIRDRE COCKS ESCHLER M.D. 1073773297
MONIKA DATT D.O. 1578716262
DR. ALMA MAGICK DEVINE M.D 1447487681
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.