Individual
DEMETRIOS MIKELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 MARCUS AVE, SUITE 170 WEST, NEW HYDE PARK, NY 11042-2061
(516) 355-0111
(516) 355-5011
Mailing address
29 CHASE RD, PO BOX 701, SCARSDALE, NY 10583-7500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
216578
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
216578
NY
Other
Enumeration date
04/24/2013
Last updated
05/15/2013
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