Individual provider · Type 1 NPI
Irene Kontoleon
Specialist · Southold, NY
NPI number
1477955649
Active
Practice location
2760 Lighthouse Rd
Southold, NY 11971-0945
Mailing address
PO Box 1957, 2760 Lighthouse Road
Southold, NY 11971-0945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 753552 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Southold
About NPI 1477955649
Irene Kontoleon's National Provider Identifier is 1477955649, issued on Sep 19, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Southold, NY. The record was last updated on Sep 19, 2014.