Alaina Nicole Dimitriou
Specialist in Syosset, NY. Individual provider (NPI-1).
NPI number1033744461
StatusActive
Last updated in NPPESMar 5, 2020
Details
- NPI
- 1033744461
- Entity type
- Individual (NPI-1)
- Name
- Alaina Nicole Dimitriou
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2020
- Certification date
- Mar 5, 2020
- Last updated
- Mar 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
47 Humphrey DrSyosset, NY 11791-4022
Phone 516-921-7171
Mailing address
47 Humphrey DrSyosset, NY 11791-4022
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