Individual
ALEXIS MARIE DIMITRIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-7780
Mailing address
105 DARROW LN, GREENLAWN, NY 11740-2906
(631) 813-9574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
065645
NY
Other
Enumeration date
01/15/2018
Last updated
05/24/2021
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