NPI 1619377488

Total Medical Healthcare PC

Organisation Family Medicine Physician Riverhead, NY

Practice location

Address: 550 E Main St STE 100, Riverhead, NY 11901-2672
Phone: (631) 591-3093
Fax: (631) 317-1010
Mailing address: 665 Treehouse Cir, St Augustine, FL 32095-6837

Authorised official

Name: Dimos Kanakoudas
Title: President
Phone: (646) 824-1380

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 60 257261 (NY)

Other Family Medicine providers in New York →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 33 337755 (NY)

Other Nurse Practitioner providers in New York →

Registry record

NPI: 1619377488
Entity type: Organization
NPI issued: 29 Aug 2014
Record last updated: 14 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.