Provider Demographics
NPI:1023178795
Name:PAPANEOPHYTOU, NEOPHYTOS L (PHD, LMHC, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:NEOPHYTOS
Middle Name:L
Last Name:PAPANEOPHYTOU
Suffix:
Gender:M
Credentials:PHD, LMHC, LPC, NCC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1115 WILLOW AVE APT 512
Mailing Address - Street 2:APT. 512
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3262
Mailing Address - Country:US
Mailing Address - Phone:646-239-1048
Mailing Address - Fax:
Practice Address - Street 1:6415 BAY PARKWAY
Practice Address - Street 2:6415 BAY PARKWAY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204
Practice Address - Country:US
Practice Address - Phone:718-331-3800
Practice Address - Fax:718-331-3387
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health