Ilaridis, Dimitrios A

Ilaridis, Dimitrios A is an individual health care provider with primary practice located at 72 Lortel Ave , Staten Island NY 10314-5511. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ilaridis, Dimitrios A can be contacted via phone (718) 494-7683.

Contact Information

Primary practice address
72 Lortel Ave Staten Island NY 10314-5511
Phone: (718) 494-7683
Fax: (718) 238-0856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 039245 New York

Profile Details

NPI number 1659585909
LBN Legal business name Ilaridis, Dimitrios A
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 17 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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