Elias Peter Kotsovolos, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007026 Issued in NY

Practice address

218 Broadway Greenlawn
Huntington, NY 11743-4601

Phone

(631) 754-4410

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407972995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BROADWAY GREENLAWN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434601",
            "telephone_number": "631-543-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BROADWAY GREENLAWN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434601",
            "telephone_number": "631-754-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTSOVOLOS",
        "first_name": "ELIAS",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Kosakavich
• Kerri Lynn Kosloff, LCSW
• Phyllis Kossak, PHD
• Monika Lillian Kost, PA
• Tara Marie Kotliar
• Bernard Jerome Koven
• Anna M Kowalczyk, RPA-C
• Joseph R Kozlowski, MSPT
• Danielle Kraatz, MS.ED., NCSP
• Denise Newirth Kramer, LCAT

• Chiropractor in Huntington, NY
• Providers in Huntington, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.