Individual
DR. DEMETRIOS MARKOUIZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3014 37TH ST, ASTORIA, NY 11103-3809
(718) 278-9500
(718) 278-2430
Mailing address
3014 37TH ST, ASTORIA, NY 11103-3809
(718) 278-9500
(718) 278-2430
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
170828
NY
2080A0000X
Pediatric Adolescent Medicine Physician
170828
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01052079
—
NY
Enumeration date
02/05/2007
Last updated
07/28/2021
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