Provider Demographics
NPI:1386954279
Name:CHRIS DEMETRIOU MD PC
Entity type:Organization
Organization Name:CHRIS DEMETRIOU MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-650-3355
Mailing Address - Street 1:623 STEWART AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4771
Mailing Address - Country:US
Mailing Address - Phone:516-650-3355
Mailing Address - Fax:866-706-0812
Practice Address - Street 1:623 STEWART AVE STE 106
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4771
Practice Address - Country:US
Practice Address - Phone:516-650-3355
Practice Address - Fax:866-706-0812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty