Neoclis, Kostas

Neoclis, Kostas is an individual health care provider with primary practice located at 4770 Sunrise Hwy Ste 106 , Massapequa Park NY 11762-2911. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Neoclis, Kostas can be contacted via phone (516) 261-9398.

Contact Information

Primary practice address
4770 Sunrise Hwy Ste 106 Massapequa Park NY 11762-2911
Phone: (516) 261-9398
Fax: (516) 261-9399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000605 Michigan
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 002493 New York

Profile Details

NPI number 1932472941
LBN Legal business name Neoclis, Kostas
Credentials SC.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2012
Last updated Nov 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932472941 NPPES
New York MEDICAID 03686835

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