Individual
KONSTANTINOS DAMIRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(516) 236-1620
Mailing address
3 WARWICK BLVD, ISLAND PARK, NY 11558-1801
(516) 236-1620
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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