Provider Demographics
NPI:1326520313
Name:KARALEKAS, SOPHIA ANDRIANA (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:ANDRIANA
Last Name:KARALEKAS
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 PAGE LN
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6213
Mailing Address - Country:US
Mailing Address - Phone:917-929-9579
Mailing Address - Fax:
Practice Address - Street 1:22214 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11428-2018
Practice Address - Country:US
Practice Address - Phone:718-464-1433
Practice Address - Fax:718-464-1439
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2022-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist