Individual provider · Type 1 NPI
John Tsouris, D.P.M.
Foot Surgery Podiatrist · Lake Grove, NY
NPI number
1225032097
Active
Practice location
2233 Nesconset Hwy, Suite 206
Lake Grove, NY 11755-1000
Fax (631) 751-8166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | N004604 (NY) |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N004604 (NY) |
| Sports Medicine Podiatrist | 213ES0000X | N004604 (NY) |
| Foot Surgery Podiatrist Primary | 213ES0131X | N004604 (NY) |
Foot Surgery Podiatrist: Definition to come...
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Other foot surgery podiatrist providers in Lake Grove
About NPI 1225032097
John Tsouris, D.P.M.'s National Provider Identifier is 1225032097, issued on Jun 9, 2005. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Lake Grove, NY. The record was last updated on Oct 16, 2014.