Individual
PENELOPE DEMETRIADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 77TH ST, BROOKLYN, NY 11209-2903
(917) 932-3442
Mailing address
153 77TH ST, BROOKLYN, NY 11209-2903
(917) 932-3442
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ORT011268
NY
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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