Individual provider · Type 1 NPI
Sophy Dedopoulos, NP
Primary Care Nurse Practitioner · New Hyde Park, NY
NPI number
1538274451
Active
Practice location
410 Lakeville Rd, Suite 107
New Hyde Park, NY 11042-1101
Fax (516) 465-5454
Mailing address
972 Brush Hollow Rd, 4th Floor
Westbury, NY 11590-1740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 497423 / 303779 (NY) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 303779 (NY) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1538274451
Sophy Dedopoulos, NP's National Provider Identifier is 1538274451, issued on Aug 20, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New Hyde Park, NY. The record was last updated on Feb 16, 2017.