Individual
DR. CONSTANTINE ANTONY DEMETRACOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1056
(212) 606-1246
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9324
(631) 329-6925
(631) 329-6951
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
256723
NY
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
256723
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03690397
—
NY
Enumeration date
05/14/2008
Last updated
12/18/2020
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