Individual provider · Type 1 NPI

Elisabeth Dimitratos, PA

Medical Physician Assistant · New York, NY

NPI number 1114803954 Active

Practice location

530 1st Ave Ste 9V
New York, NY 10016-6402

Mailing address

37 Meadow Woods Rd
Great Neck, NY 11020-1324

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1114803954

Elisabeth Dimitratos, PA's National Provider Identifier is 1114803954, issued on Aug 15, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Aug 15, 2025.