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Individual

DEMETRIOS JOANOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
40 HORIZON FARMS DR, WARWICK, NY 10990-2260
(845) 258-0129
Mailing address
40 HORIZON FARMS DR, WARWICK, NY 10990-2260
(845) 258-0129

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063809
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/06/2022
Last updated
12/24/2022
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