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Alexandra Demetriou, OTRLCHT
Specialist in Bay Shore, New York
NPI 1760463087

Alexandra Demetriou is a Specialist based in Bay Shore, NY. Alexandra Demetriou practices in Bay Shore, NY and has the professional credentials of OTRLCHT. The NPI Number for Alexandra Demetriou is 1760463087 and holds a License No. 007141-1 (New York).

The current practice location address for Alexandra Demetriou is 1555 Sunrise Hwy, Bay Shore, NY and can be reached out via phone at 631-206-3130 and via fax at 631-206-3148.

Location: 1555 Sunrise Hwy, Bay Shore, NY, 11706-6027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760463087
Provider Name
Alexandra Demetriou
Credential
OTRLCHT
Provider Entity Type
Individual
Gender
Female
Address
1555 Sunrise Hwy, Bay Shore, NY, 11706-6027
Phone Number
631-206-3130
Fax Number
631-206-3148
Provider Enumeration Date
11/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200424663 01 NY TAX PAYER ID
institution
Provider Business Practice Location Address Details
Address
1555 Sunrise Hwy
City
Bay Shore
State
New York
Zip
11706-6027
Phone Number
631-206-3130
Fax Number
631-206-3148
person
Provider Business Mailing Address Details
Address
1555 Sunrise Hwy
City
Bay Shore
State
New York
Zip
11706-6027
Phone Number
631-206-3130
Fax Number
631-206-3148
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
007141-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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