Provider Demographics
NPI:1316382989
Name:KATSOUFIS, EDITH (MS)
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:
Last Name:KATSOUFIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18B BURBANK ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-6104
Mailing Address - Country:US
Mailing Address - Phone:914-652-7598
Mailing Address - Fax:
Practice Address - Street 1:18B BURBANK ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-6104
Practice Address - Country:US
Practice Address - Phone:914-652-7598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other