Individual ProviderElias Peter KotsovolosChiropractorChiropractic ProvidersPractice Address218 Broadway Greenlawn, Huntington, NY 11743-4601(631) 754-4410(631) 543-5774PECOS EnrollmentBased on the most recent information from CMS, provider Elias Peter Kotsovolos does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1407972995Provider TypeIndividualFull NameKotsovolos, Elias PeterTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date3/22/2007Last Updated7/9/2007Contact InformationPractice LocationPractice Address218 Broadway Greenlawn, Huntington, NY 11743-4601Phone(631) 754-4410FaxUnlisted FaxMailing LocationMailing Address218 Broadway Greenlawn, Huntington, NY 11743-4601Phone(631) 543-5774FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseX007026New York