Organization
SPIRO DEMETIS PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPIRO DEMETIS (PRESIDENT)
(718) 748-4446
Entity
Organization
Contact information
Practice address
9001 FORT HAMILTON PKWY, BROOKLYN, NY 11209-6408
(718) 748-4446
(718) 748-3593
Mailing address
9001 FORT HAMILTON PKWY, BROOKLYN, NY 11209-6408
(718) 748-4446
(718) 748-3593
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
168398
NY
207RP1001X
Pulmonary Disease Physician
Primary
168398
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01608731
—
NY
01
—
0690046007
CIGNA
NY
01
—
1000017422
AFFINITY
NY
01
—
141203
AETNA
NY
01
—
2900032
GHI
NY
01
—
46205P
HIP
NY
01
—
KS975
OXFORD
NY
Enumeration date
03/08/2007
Last updated
09/14/2007
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