Pavlou, Demetris

Pavlou, Demetris is an individual health care provider with primary practice located at 5 Candlewood Rd Ste 1 , Bay Shore NY 11706-2351. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Pavlou, Demetris can be contacted via phone (631) 300-4670.

Contact Information

Primary practice address
5 Candlewood Rd Ste 1 Bay Shore NY 11706-2351
Phone: (631) 300-4670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 047199 New York

Profile Details

NPI number 1295915619
LBN Legal business name Pavlou, Demetris
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2007
Last updated Aug 8th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295915619 NPPES
New York MEDICAID 02936345

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