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1366901183
KONSTANTINOS DAMIRIS
NEWARK, NJ
NPI
1366901183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-19
Last Update Date
2019-03-19
Business Address
KONSTANTINOS DAMIRIS DO
150 BERGEN ST
NEWARK, NJ 07103-2496
Phone number: 516-236-1620
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Mailing Address
KONSTANTINOS DAMIRIS DO
3 WARWICK BLVD
ISLAND PARK, NY 11558-1801
Phone number: 516-236-1620
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