| Chris Demetriou Md Pc | |
|
1205 Franklin Ave Ste 150 Garden City NY 11530-1629 | |
| (516) 222-2269 | |
| (516) 222-2268 |
| Full Name | Chris Demetriou Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1205 Franklin Ave, Garden City, New York |
| Authorized Official Name and Position | Veronica Verde (ADMINISTRATOR) |
| Authorized Official Contact | 5166503355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Demetriou Md Pc 1205 Franklin Ave Ste 150 Garden City NY 11530-1629 Ph: (516) 222-2269 | Chris Demetriou Md Pc 1205 Franklin Ave Ste 150 Garden City NY 11530-1629 Ph: (516) 222-2269 |
| NPI Number | 1386954279 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 12/16/2021 |
| Medicare PECOS PAC ID | 4284816927 |
|---|---|
| Medicare Enrollment ID | O20110316000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386954279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Chris Demetriou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194806075 PECOS PAC ID: 1355375841 Enrollment ID: I20050923000604 |
| Provider Name | Kenneth Levine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083677454 PECOS PAC ID: 3274635453 Enrollment ID: I20070219000156 |
| Provider Name | Maria T Sabatini |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598827107 PECOS PAC ID: 6800993742 Enrollment ID: I20070529000521 |
| Provider Name | Daniel J Ulicny |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043273402 PECOS PAC ID: 1658465109 Enrollment ID: I20070914000564 |
| Provider Name | Julio K Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831357698 PECOS PAC ID: 0547336992 Enrollment ID: I20080909000052 |
| Provider Name | Lili Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154555902 PECOS PAC ID: 9931320330 Enrollment ID: I20141029000504 |
| Provider Name | Haseeb Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487917852 PECOS PAC ID: 1850646191 Enrollment ID: I20180611000120 |
| Provider Name | Joseph A Ilasi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740312818 PECOS PAC ID: 2769628452 Enrollment ID: I20180627001360 |
| Provider Name | Amy Tan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932542149 PECOS PAC ID: 7416295969 Enrollment ID: I20190426001050 |
| Provider Name | Jennifer Miller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396275269 PECOS PAC ID: 8426416652 Enrollment ID: I20230621001163 |
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