Individual provider · Type 1 NPI

Demetrios Gorgios Fuiaxis

Addiction (Substance Use Disorder) Counselor · Deer Park, NY

NPI number 1992347520 Active

Practice location

770 Grand Blvd
Deer Park, NY 11729-5750

Fax (631) 392-4358

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1992347520

Demetrios Gorgios Fuiaxis's National Provider Identifier is 1992347520, issued on Oct 15, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Deer Park, NY. The record was last updated on Oct 15, 2019.