Individual
DEMETRA MALAMATENIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2018 ALBANY POST RD, CROTON ON HUDSON, NY 10520-1562
(914) 271-4726
Mailing address
86 SHELLEY AVE, YONKERS, NY 10701-5440
(914) 943-8568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060705
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2018
Last updated
10/14/2020
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