Organization
DEMETRIUS C ZODIATIS,MD.PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMETRIUS CHRISTOS ZODIATIS I MD,FACP (CEO OF CORPORATION)
(631) 751-7588
Entity
Organization
Contact information
Practice address
1388 STONY BROOK RD, STONY BROOK, NY 11790-2205
(631) 751-7588
(631) 689-3665
Mailing address
1388 STONY BROOK RD, STONY BROOK, NY 11790-2205
(631) 751-7588
(631) 689-3665
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
119465
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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