Individual
MR. CONSTANTINE DEMETRIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
420 5TH AVE FL 7, NEW YORK, NY 10018-0223
(646) 682-5343
Mailing address
420 5TH AVE FL 7, NEW YORK, NY 10018-0223
(646) 682-5343
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004077
NY
2255A2300X
Athletic Trainer
AL1917
FL
Other
Enumeration date
02/19/2008
Last updated
09/07/2022
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