Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Integrative Medicine of Brookhaven PC

Organization Family Medicine Physician · NPI 1336647213

Integrative Medicine of Brookhaven PC is a Family Medicine Physician in Port Jefferson Station, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

59 Nesconset Hwy Fl 2
Port Jefferson Station, NY 11776-2628
Phone: (646) 824-1380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 59 Merrick Rd Ste B, Amityville, NY 11701-3453 — (646) 824-1380
  • 2848 Middle Country Rd, Lake Grove, NY 11755-2104 — (631) 780-5550

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 257261 (NY)

Record details

NPI number1336647213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dimos Kanakoudas — Owner/Medical Director · (646) 824-1380
NPI enumeratedJanuary 25, 2018
Last updated in NPPESMarch 14, 2021
Certification dateMarch 14, 2021
Mailing address7 Lost Meadow Ln, Port Jefferson, NY 11777-1127

Other providers in Port Jefferson Station