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Theodora Theodosiadou

NPI 1194087700 · on the registry since 2012 · sole proprietor

Practice

Address
4515 172nd St
Flushing, NY 11358
Phone
(917) 868-6585

Registry record

Primary taxonomy
174400000X
174400000X
Also registered as
252Y00000X
252Y00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York