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1487774204
STAVROULA DEMAKOS
RIVERHEAD, NY
NPI
1487774204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 424329-1)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Mrs. STAVROULA DEMAKOS ANP
36 OSPREY AVE
RIVERHEAD, NY 11901-2541
Phone number: 631-727-4171
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Mailing Address
Mrs. STAVROULA DEMAKOS ANP
6 PINEWOOD DR
COMMACK, NY 11725-5626
Phone number: 631-864-4986
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