Mathioudakis, Eleni

Mathioudakis, Eleni is an individual health care provider with primary practice located at 10819 Rockaway Blvd , South Ozone Park NY 11420-1034. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mathioudakis, Eleni can be contacted via phone (718) 845-2620.

Contact Information

Primary practice address
10819 Rockaway Blvd South Ozone Park NY 11420-1034
Fax: (718) 845-9360
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 082864 New York

Profile Details

NPI number 1184917155
LBN Legal business name Mathioudakis, Eleni
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2011
Last updated May 24th, 2011 - about 13 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 1184917155 NPPES
New York MEDICAID 00082864

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