Individual
DEMETRA MITSOTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1407 W 6TH ST, BROOKLYN, NY 11204-4802
(718) 256-1057
(718) 256-4912
Mailing address
86 85TH ST, BROOKLYN, NY 11209-4208
(718) 759-1472
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
230996
NY
Other
Enumeration date
05/14/2007
Last updated
02/24/2009
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