Provider Demographics
NPI:1417212572
Name:GEROLIMATOS, ELENI (MSED)
Entity Type:Individual
Prefix:
First Name:ELENI
Middle Name:
Last Name:GEROLIMATOS
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 31ST DR
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-4136
Mailing Address - Country:US
Mailing Address - Phone:347-231-4682
Mailing Address - Fax:
Practice Address - Street 1:2333 31ST DR
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-4136
Practice Address - Country:US
Practice Address - Phone:347-231-4682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist