Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****77

NOT RENEWED

N

MD

DIMITRIOS

S

MASTROGIANNIS

DIMITRIOS S MASTROGIANNIS MD

10/28/2014

06/12/2017

09/30/2020

DIX HILLS

NY

11746

COOK

PRACTITIONER

II III IV V

N

01/14/2021