Demetriou, Alexandra

Demetriou, Alexandra is an individual health care provider with primary practice located at 1555 Sunrise Hwy Suite 2, Bay Shore NY 11706-6027. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Demetriou, Alexandra can be contacted via phone (631) 206-3130.

Contact Information

Primary practice address
1555 Sunrise Hwy Suite 2 Bay Shore NY 11706-6027
Phone: (631) 206-3130
Fax: (631) 206-3148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 007141-1 New York

Profile Details

NPI number 1760463087
LBN Legal business name Demetriou, Alexandra
Credentials OTR L CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jun 24th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760463087 NPPES
New York Other 200424663 TAX PAYER ID

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