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Contact Information

CONSTANTINE DEMETRIADIS, LAT, ATC
420 5TH AVE FL 7
NEW YORK, NY10018-0223
 Phone: 646-682-5343
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for CONSTANTINE DEMETRIADIS · (Male)

NPI # 1659549061
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 02/19/2008
Last updated 09/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # AL1917
  • NY License # 004077
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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