Organization
DEMETRIOS A KARIDES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIOS A KARIDES M.D. (PHYSICIAN)
(718) 204-7821
Entity
Organization
Contact information
Practice address
2309 31ST ST STE 5, ASTORIA, NY 11105-2452
(718) 204-7821
(718) 204-7826
Mailing address
PO BOX 5577, ASTORIA, NY 11105-5577
(718) 204-7821
(718) 204-7826
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
210635
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02258088
—
NY
01
—
P00125338
MC RR
NY
Enumeration date
05/22/2007
Last updated
01/28/2015
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