DIMOS G KANAKOUDAS (NPI# 1750553293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750553293 |
| Entity Type | Individual |
| Full Name | DIMOS G KANAKOUDAS |
| Credential | MD |
| Practice Address |
3400 Nesconset Hwy Suite 102 East Setauket NY 11733-3327 |
| Practice Telephone | 6317515700 |
| Mailing Telephone | 6317515700 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
010895 | NY | Chiropractic Providers |
| Y | 207Q00000X | Family Medicine | 257261-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3400 NESCONSET HWY SUITE 102 |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-3327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205892205 | Robert John Baranowski | Internal Medicine | 3400 Nesconset Hwy, Suite 101, East Setauket, NY 11733-3327 | 2006-04-26 |
| 1518233287 | Suffolk Pulmonary and Sleep Disorder, PC | Sleep Specialist, PhD | 3400 Nesconset Hwy, 8 Technology Drive Suite 103, East Setauket, NY 11733-3327 | 2012-03-28 |
| 1548560527 | Complete Health Medical, P.C. | Chiropractor | 3400 Nesconset Hwy, Suite 102, East Setauket, NY 11733-3339 | 2010-10-25 |
| 1437481744 | Suffol Pulmonary and Sleep Disorders | Specialist | 3400 Nesconset Hwy, East Setauket, NY 11733-3327 | 2010-02-11 |
| 1114165909 | Colon and Rectal Surgeons of Long Island, P.C. | Surgery | 3400 Nesconset Hwy, Suite 100, East Setauket, NY 11733-3327 | 2009-02-02 |
| 1194900365 | Alexander Llinas | Ophthalmology | 3400 Nesconset Hwy, Suite 107, East Setauket, NY 11733-3327 | 2008-01-07 |
| 1396868527 | Vincent P Basilice | Ophthalmology | 3400 Nesconset Hwy, Suite 107, East Setauket, NY 11733-3327 | 2007-04-10 |
| 1902929706 | Steven M Zove | Dentist | 3400 Nesconset Hwy, Suite 109, East Setauket, NY 11733-3327 | 2007-04-08 |
| 1093849838 | Eye-q Corporation of America | Durable Medical Equipment & Medical Supplies | 3400 Nesconset Hwy, Suite 107, East Setauket, NY 11733-3327 | 2007-03-15 |
| 1003944943 | Margaret A Cariola | Nurse Practitioner | 3400 Nesconset Hwy, Ste 101, East Setauket, NY 11733-3327 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609166065 | Niambi Brown | Family Medicine | 181 Belle Meade Road, Suite 2 Department of Family Medicine, East Setauket, NY 11733 | 2011-04-19 |
| 1396777199 | Judy Fingergut | Family Medicine | 181 Belle Mead Rd, Suite 2, East Setauket, NY 11733-3495 | 2006-07-06 |
| 1285991596 | Sritha Rajupet | Family Medicine | 181 N Belle Mead Rd Ste 2, East Setauket, NY 11733-3495 | 2012-04-12 |
| 1669760419 | Kamalpreet Buttar | Family Medicine | 181 Bellemeade Rd, East Setauket, NY 11733-3495 | 2011-07-14 |
| 1780983288 | Kimberly Melanie Noel | Family Medicine | 181 Bellemeade Rd, East Setauket, NY 11733-3495 | 2011-03-23 |
| 1356661649 | Ghazal Sinha | Family Medicine | 181 N Belle Mead Rd Ste 2, East Setauket, NY 11733-3495 | 2010-06-09 |
| 1205093374 | Ana Maria G Blanco | Family Medicine | 181 N Belle Mead Rd Ste 2, East Setauket, NY 11733-3495 | 2008-05-16 |
| 1003089640 | Eastern Long Island Family Medicine PC | Family Medicine | 100 S Jersey Ave, Suite 14, East Setauket, NY 11733-2034 | 2008-04-03 |
| 1033287594 | Mark J Harary | Family Medicine | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2006-12-01 |
| 1649369067 | Setauket Primary Medical Care PC | Family Medicine | 12 Brewster Ln, East Setauket, NY 11733-2922 | 2006-10-12 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.