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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
- Specialist
174400000X
- Also registered as
- Early Intervention Provider Agency
Early Intervention Provider Agency - 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