Doctor Name: | ALEXANDRA DEMETRIOU |
NPI Number: | 1760463087 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR L CHT |
License Number: | 007141-1 |
Business Practice Address: | 1555 Sunrise Hwy Suite 2 Bay Shore, NY - 117066027 |
Business Phone Number: | 6312063130 |
Business Fax Number: | 6312063148 |
Mailing Address: | 1555 Sunrise Hwy, Suite 2 BAY SHORE |
State: | NY |
Postal Code: | 117066027 |
Phone Number: | 6312063130 |
Fax Number: | 6312063148 |
NPI Enumeration Date: | 11/14/2005 |
NPI Last Update Date: | 06/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 007141-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |