| Demetrius C Zodiatis,md.pc. | |
|
1388 Stony Brook Rd Stony Brook NY 11790-2205 | |
| (631) 751-7588 | |
| (631) 689-3665 |
| Full Name | Demetrius C Zodiatis,md.pc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1388 Stony Brook Rd, Stony Brook, New York |
| Authorized Official Name and Position | Demetrius Christos Zodiatis (CEO OF CORPORATION) |
| Authorized Official Contact | 6317517588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Demetrius C Zodiatis,md.pc. 1388 Stony Brook Rd Stony Brook NY 11790-2205 Ph: (631) 751-7588 | Demetrius C Zodiatis,md.pc. 1388 Stony Brook Rd Stony Brook NY 11790-2205 Ph: (631) 751-7588 |
| NPI Number | 1558658989 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558658989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 119465 (* (Not Available)) | Primary |
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