Anagnostakos, Theodora Helene

Anagnostakos, Theodora Helene is an sole proprietor health care provider with primary practice located at 25 Ascot Ridge Rd , Great Neck NY 11021-2912. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Anagnostakos, Theodora Helene can be contacted via phone (646) 261-4672.

Contact Information

Primary practice address
25 Ascot Ridge Rd Great Neck NY 11021-2912
Phone: (646) 261-4672
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 013560-1 New York

Profile Details

NPI number 1427203553
LBN Legal business name Anagnostakos, Theodora Helene
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2008
Last updated Nov 17th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427203553 NPPES
New York Other 013560-1 NYS OFFICE OF THE PROFESSIONS

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