Provider Demographics
NPI:1407865686
Name:ARGEROPOULOS, SOPHIA ANNE
Entity Type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:ANNE
Last Name:ARGEROPOULOS
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 1:9 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-3336
Mailing Address - Country:US
Mailing Address - Phone:631-473-8182
Mailing Address - Fax:631-473-8183
Practice Address - Street 1:9 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-3336
Practice Address - Country:US
Practice Address - Phone:631-473-8182
Practice Address - Fax:631-473-8183
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3794111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX23881Medicare PIN