Theodosiadou, Theodora

Theodosiadou, Theodora is an sole proprietor health care provider with primary practice located at 4515 172Nd St , Flushing NY 11358-3335. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Agencies / Early Intervention Provider Agency. Other Service Providers / Specialist is her primary health care specialty. Theodosiadou, Theodora can be contacted via phone (917) 868-6585.

Contact Information

Primary practice address
4515 172Nd St Flushing NY 11358-3335
Phone: (917) 868-6585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X New York
Agencies / Early Intervention Provider Agency 252Y00000X New York
Agencies / Early Intervention Provider Agency 252Y00000X COOPERKIDSTHERAPYASS New York

Profile Details

NPI number 1194087700
LBN Legal business name Theodosiadou, Theodora
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2012
Last updated Jun 10th, 2012 - about 12 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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