Individual
DR. DANIEL JOSEPH DEMIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-4308
(212) 305-6610
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-4308
(212) 305-6610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
293245
NY
207RR0500X
Rheumatology Physician
Primary
293245
NY
Other
Enumeration date
04/11/2015
Last updated
05/01/2020
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