Individual provider · Type 1 NPI

Demetrius Daniel Felipe Mazidis, DO

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1952979387 Active

Practice location

450 Clarkson Ave
Brooklyn, NY 11203-2012

Call (718) 270-1000 Map

Mailing address

958 76th St
Brooklyn, NY 11228-2318

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952979387

Demetrius Daniel Felipe Mazidis, DO's National Provider Identifier is 1952979387, issued on Jun 13, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 13, 2021.