Individual provider · Type 1 NPI
Theodora Theodosiadou
Specialist · Flushing, NY
NPI number
1194087700
Active
Practice location
4515 172nd St
Flushing, NY 11358-3335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
| Early Intervention Provider Agency | 252Y00000X | None listed |
| Early Intervention Provider Agency | 252Y00000X | COOPERKIDSTHERAPYASS (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1194087700
Theodora Theodosiadou's National Provider Identifier is 1194087700, issued on Jun 10, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Flushing, NY. The record was last updated on Jun 10, 2012.