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Contact Information

DEMETRIS PAVLOU
5 CANDLEWOOD RD STE 1
BAY SHORE, NY11706-2351
 Phone: 631-300-4670
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for DEMETRIS PAVLOU · (Male)

NPI # 1295915619
Status Active
Credentials
Entity Individual
Enumeration date 11/14/2007
Last updated 08/08/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 047199
  • NY Medicaid 02936345
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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