Provider Demographics
NPI:1104094366
Name:PIANOS, DEMETRIOS (RPH)
Entity type:Individual
Prefix:MR
First Name:DEMETRIOS
Middle Name:
Last Name:PIANOS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-4324
Mailing Address - Country:US
Mailing Address - Phone:631-269-0021
Mailing Address - Fax:
Practice Address - Street 1:265 POND PATH
Practice Address - Street 2:T-1191
Practice Address - City:SOUTH SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11720-2007
Practice Address - Country:US
Practice Address - Phone:631-580-5371
Practice Address - Fax:631-580-5371
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043459183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist