Mr. Dimitrios Fantakos
Mr. Dimitrios Fantakos is a Case Manager/Care Coordinator in Bayside, New York. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
21426 41st AveBayside, NY 11361-2159
Phone: (718) 631-1110
Fax: (718) 631-1314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1508112806 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 24, 2012 |
| Last updated in NPPES | July 24, 2012 |
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