Demetrios Gorgios Fuiaxis

NPI #1992347520 in Deer Park, New York

Provider Information

NPI Number
1992347520
Entity Type
Individual
Name
Demetrios Gorgios Fuiaxis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Oct 15, 2019
Last Updated
Oct 15, 2019

Practice Location

Address
770 GRAND BLVD
ZIP Code
11729-5750
Phone
(631) 392-4357

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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