Provider Demographics
NPI:1275774929
Name:VLEPAKIS, EMMANOYIL (MS SLP-CCC)
Entity Type:Individual
Prefix:
First Name:EMMANOYIL
Middle Name:
Last Name:VLEPAKIS
Suffix:
Gender:M
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 202ND ST
Mailing Address - Street 2:BAYSIDE, QUEENS
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-1143
Mailing Address - Country:US
Mailing Address - Phone:346-612-1772
Mailing Address - Fax:
Practice Address - Street 1:3325 202ND ST
Practice Address - Street 2:BAYSIDE, QUEENS
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-1143
Practice Address - Country:US
Practice Address - Phone:346-612-1772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014564-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist