Individual
ALEXIS DEMOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CANCER INSTITUTE, 85 RETREAT AVENUE, HARTFORD, CT 06106
(860) 696-5169
Mailing address
219 UNION ST, APARTMENT #3A, BROOKLYN, NY 11231
(516) 562-3065
(516) 562-3631
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
211455
NY
2084N0400X
Neurology Physician
72136
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2684348
—
NY
Enumeration date
11/13/2006
Last updated
03/04/2024
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