MEDICARE: DR. DEMETRE COSTAS DASKALAKIS MD

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
1	207RI0200X	Infectious Disease Physician	236731	NY
2	207R00000X	Internal Medicine Physician	236731	NY

General Provider Information

NPI Number	:	1952463937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEMETRE COSTAS DASKALAKIS MD

Provider Business Mailing Address
First Line	:	1 GUSTAVE L LEVY PL
Second Line	:	BOX 3000
City	:	NEW YORK
State	:	NY
Zip	:	10029-6504
Country	:	US
Telephone Number	:	212-987-3100
Fax Number	:	212-731-5210

Provider Business Practice Location Address
First Line	:	356 W 18TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-4401
Country	:	US
Telephone Number	:	212-271-7200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	01/15/2026

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Directions to “ DR. DEMETRE COSTAS DASKALAKIS MD” Practice Location

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