Individual provider · Type 1 NPI

Dimitri George Panoussis

Addiction (Substance Use Disorder) Counselor · Copiague, NY

NPI number 1376262899 Active

Practice location

445 Oak St
Copiague, NY 11726-3111

Mailing address

66 Halley Dr
Blue Point, NY 11772

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1376262899

Dimitri George Panoussis's National Provider Identifier is 1376262899, issued on Aug 26, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Copiague, NY. The record was last updated on Aug 26, 2022.