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NPI Code Detail

MEDICARE: DR. DEMETRA A. VOUNAS M.D.

MEDICARE:  DR. DEMETRA A. VOUNAS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician172162-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477533123
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEMETRA A. VOUNAS M.D.
Provider Business Mailing Address
First Line : 37 W GARDEN ST
Second Line : SUITE 201
City : AUBURN
State : NY
Zip : 13021-2662
Country : US
Telephone Number : 315-567-0777
Fax Number : 315-702-8393
Provider Business Practice Location Address
First Line : 37 W GARDEN ST
Second Line : SUITE 201
City : AUBURN
State : NY
Zip : 13021-2662
Country : US
Telephone Number : 315-567-0777
Fax Number : 315-702-8393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 01/29/2015

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Directions to “ DR. DEMETRA A. VOUNAS M.D.” Practice Location

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