DEMETRIUS C ZODIATIS,MD.PC.
NPI 1558658989
Clinic/Center - Primary Care in Stony Brook, NY

Active since July 06, 2011
1388 STONY BROOK RD, STONY BROOK, NY 11790(631) 751-7588(631) 689-3665 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Demetrius C Zodiatis,md.pc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIUS C ZODIATIS,MD.PC. (NPI 1558658989) is a healthcare organization registered as a primary care in Stony Brook, New York and active in the NPI registry since July 2011. The organization lists Demetrius Christos Zodiatis, Ceo Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1558658989
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDEMETRIUS C ZODIATIS,MD.PC.
Location Address1388 STONY BROOK RDStony Brook, NY 11790-2205
Mailing Address1388 Stony Brook RdStony Brook, NY 11790-2205 · (631) 751-7588 · Fax (631) 689-3665
Fax(631) 689-3665
Organization SubpartNo
Authorized OfficialDemetrius Christos ZodiatisCeo Of Corporation · (631) 751-7588
Enumeration DateJuly 6, 2011
NPI 1558658989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed · 119465
1388 STONY BROOK RD, Stony Brook, NY 11790

Other Identifiers 1

Medicare PIN281341NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetrius C Zodiatis,md.Pc.'s NPI number?

The NPI number for Demetrius C Zodiatis,md.Pc. is 1558658989. It was assigned to this organization in the NPPES registry on July 6, 2011.

Where is Demetrius C Zodiatis,md.Pc. located?

Demetrius C Zodiatis,md.Pc. is located at 1388 Stony Brook Rd, Stony Brook, NY 11790. The listed phone number is (631) 751-7588.

What is Demetrius C Zodiatis,md.Pc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Demetrius C Zodiatis,md.Pc. was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.