Provider Demographics
NPI:1275279945
Name:TSANGOURI, PANAGIOTA
Entity Type:Individual
Prefix:
First Name:PANAGIOTA
Middle Name:
Last Name:TSANGOURI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2033 28TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-2930
Mailing Address - Country:US
Mailing Address - Phone:347-208-3483
Mailing Address - Fax:
Practice Address - Street 1:516 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-4514
Practice Address - Country:US
Practice Address - Phone:929-285-3835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health