INTEGRATIVE MEDICINE OF BROOKHAVEN P.C.
NPI 1336647213
Family Medicine in Port Jefferson Station, NY

Q: What is Integrative Medicine Of Brookhaven P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 25, 2018

59 NESCONSET HWY FL 2, PORT JEFFERSON STATION, NY 11776(646) 824-1380 Get Directions Write a Review

NPPES record last updated: March 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Integrative Medicine Of Brookhaven P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATIVE MEDICINE OF BROOKHAVEN P.C. (NPI 1336647213) is a healthcare organization registered as a family medicine in Port Jefferson Station, New York and active in the NPI registry since January 2018. The organization maintains 2 additional practice locations and lists Dimos G Kanakoudas, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1336647213

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINTEGRATIVE MEDICINE OF BROOKHAVEN P.C.

Location Address59 NESCONSET HWY FL 2Port Jefferson Station, NY 11776-2628

Mailing Address7 Lost Meadow LnPort Jefferson, NY 11777-1127

Phone(646) 824-1380

Organization SubpartNo

Authorized OfficialDimos G KanakoudasOwner/medical Director · (646) 824-1380

Enumeration DateJanuary 25, 2018

Last NPPES UpdateMarch 14, 2021

NPPES CertifiedMarch 14, 2021

✔ NPI 1336647213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 257261

Definition

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.

59 NESCONSET HWY FL 2, Port Jefferson Station, NY 11776

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Secondary Practice Locations 2

Location 12848 Middle Country RdLake Grove, NY 11755-2104 · Phone (631) 780-5550

Location 259 Merrick Rd Ste BAmityville, NY 11701-3453 · Phone (646) 824-1380

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrative Medicine Of Brookhaven P.C.'s NPI number?

The NPI number for Integrative Medicine Of Brookhaven P.C. is 1336647213. It was assigned to this organization in the NPPES registry on January 25, 2018.

Where is Integrative Medicine Of Brookhaven P.C. located?

Integrative Medicine Of Brookhaven P.C. is located at 59 Nesconset Hwy Fl 2, Port Jefferson Station, NY 11776. The listed phone number is (646) 824-1380.

What is Integrative Medicine Of Brookhaven P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Integrative Medicine Of Brookhaven P.C. was last updated on March 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.